Medical Policy Update: Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms)

Effective May 25, 2018, the guidelines of our medical policy, Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms), will also be applied to professional claims for services provided to patients enrolled in Horizon Blue Cross Blue Shield of New Jersey Medicare Advantage (MA) plans.

We encourage you to access our Medical Policy Manual to review the guidelines this medical policy.

Based on the guidelines of our medical policy, Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms), claims for services provided on and after May 25, 2018 to members enrolled in Horizon BCBSNJ MA plans will be processed as noted below.

• Professional claims that include CPT® codes 37184, +37185, 61630, and/or 61635 will pend, regardless of the submitted diagnosis code(s), while information required to determine medical appropriateness is requested and reviewed.

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 on and after May 25, 2018.

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