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Medical Policy Revision: Visual-Evoked Potential (VEP)/Visual-Evoked Response (VER)

Effective May 7, 2020, Horizon BCBSNJ will change the way we consider certain professional claims based on revisions to our medical policy, Visual-Evoked Potential (VEP)/Visual-Evoked Response (VER).

Access our Medical Policy Manual to review this medical policy content.¹

Claims submitted for services provided on and after May 7, 2020 to patients enrolled in Horizon BCBSNJ commercial and Administrative Services Only (ASO) plans will be processed as follows.

  • Regardless of the submitted diagnosis code(s), information will be requested to help us determine the medical appropriateness of the services represented by CPT® codes 95930 .

    Following our review of medical record information, these services may be denied as not medically necessary or as experimental/investigational non-covered services.

Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been cancelled or postponed, the changes will be applied to claims for dates of service on and after May 7, 2020.

CPT® is a registered mark of the American Medical Association.

Published on: February 6, 2020, 01:51 a.m. ET
Last updated on: April 27, 2021, 09:54 a.m. ET