Radiology/Imaging Services Program: PET Scan Services Update
In February 2020, Horizon BCBSNJ will implement changes to the services included as part of our Radiology/Imaging Services Program administered by eviCore healthcare (eviCore).
eviCore will conduct Prior Authorization/Medical Necessity Determination (PA/MND) reviews of the following PET Scan service procedure codes when rendered on or after February 3, 2020:
Review the complete list of services that require PA/MND review as part of this program.
For more information about these and other eviCore programs, visit HorizonBlue.com/evicore. If you have questions, please contact your Network Specialist or Ancillary Contracting Specialist.
CPT® is a registered trademark of the American Medical Association.
To submit a PA/MND request to eviCore (or to validate that a PA/MND was requested and/or approved) please:
- Visit eviCore.com or
- Call 1-866-496-6200, between 7 a.m. and 7 p.m., Eastern Time
Review the guidelines eviCore uses to conduct PA/MND reviews as part of this program.