Skip to main content

Radiology/Imaging Services Program Update: February 2019

Horizon Blue Cross Blue Shield of New Jersey 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 additional MRI services represented by the codes below (recently approved by the American Medical Association), when rendered on and after February 15, 2019

  • 77046
  • 77047
  • 77048
  • 77049
  • 76391

Effective January 1, 2019, eviCore will no longer conduct PA/MND of the services represented by the following deleted codes as part of this program.

  • 77058
  • 77059
  • C8904
  • C8907

Review the complete list of services that require PA/MND review as part of this program.

For more information about this and other eviCore programs, visit If you have questions, please contact your Network Specialist or Ancillary Contracting Specialist.

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

PA/MND reviews

To submit a PA/MND request to eviCore (or to validate that a PA/MND was requested and/or approved) please:

  • Visit 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.

Published on: January 16, 2019, 02:18 a.m. ET
Last updated on: April 27, 2021, 03:39 a.m. ET