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Transcatheter Arterial Chemoembolization Medical Policy Revision

Effective October 15, 2014, Horizon Blue Cross Blue Shield of New Jersey will change the way we consider claims related to Transcatheter Arterial Chemoembolization (TACE).

Based on our guidelines of the revised medical policy, TACE claims submitted with diagnoses related to cancer of the colon or other digestive organs that also include CPT ® codes 37243 or 75894 for dates of service October 15, 2014 and after will pend while information to determine medical necessity of these services is requested and reviewed.

This medical policy is available in our online Medical Policy Manual.

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 October 15, 2014 and after.

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

Published on: July 17, 2014, 05:25 a.m. ET
Last updated on: November 24, 2020, 23:21 p.m. ET