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Excellus BlueCross BlueShieldCommercial · Coverage · Radiology (x-rays) & Imaging · Cardiology, Radiology, Cardiothoracic Surgery +1 moreMedium impact

Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA) 6.01.34

Effective date
May 15, 2026
Identified
Jun 20, 2026

Summary

Excellus BlueCross BlueShield has updated their cardiac CT and coronary CT angiography (CCTA) policy, expanding coverage criteria to include new clinical scenarios like cardiac trauma, transplant evaluations, and plaque quantification analysis. The policy also adds specific guidelines for fractional flow reserve CT (FFR-CT) and cardiac structure evaluation.

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What to do

Action · 3 steps
01Before May 15, 2026: Billing team should review and update pre-authorization workflows for cardiac CT and CCTA procedures to align with expanded coverage criteria.
02Update encounter forms and clinical documentation templates to capture new qualifying conditions such as cardiac trauma, systemic vasculitis assessment, and plaque quantification requirements.
03Train staff on new coverage scenarios including FFR-CT and cardiac structure evaluation guidelines.

Original notice

Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA) 6.01.34
excellusbcbs.com · Always check the source before changing claims.
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