CommercialCoverageMedium impact
Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA) 6.01.34
Excellus BlueCross BlueShield·Cardiology, Radiology, Cardiothoracic Surgery +1 more·Radiology (x-rays) & Imaging
Effective date
May 15, 2026
We identified it
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.
Action Required
Before May 15, 2026: Billing team should review and update pre-authorization workflows for cardiac CT and CCTA procedures to align with expanded coverage criteria. Update encounter forms and clinical documentation templates to capture new qualifying conditions such as cardiac trauma, systemic vasculitis assessment, and plaque quantification requirements. Train staff on new coverage scenarios including FFR-CT and cardiac structure evaluation guidelines.