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Blue Cross & Blue Shield of MississippiAll Plans · Coverage · Medical Policy · Cardiology, RadiologyHigh impact

Computed Tomography to Detect Coronary Artery Calcification

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

The policy history dates the latest update 11/01/2026. Coronary artery calcium scoring may be considered medically necessary once every 5 years when either of two conditions is met: it is an adjunct to standard cardiovascular risk assessment in asymptomatic adults without known coronary artery disease, or the individual has clinical atherosclerotic cardiovascular disease, is at least 40 years of age, has borderline to intermediate 10-year ASCVD risk, and is not currently on lipid-lowering therapy. AI-based automated detection, quantification or scoring of coronary artery calcium on chest CT is investigational, and the use of CT to detect coronary artery calcification is investigational for all other indications.

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What to do

Action · 6 steps
01Billing team: Coronary artery calcium scoring (CPT 75571) is listed as medically necessary with ICD-10 codes I25.10 through I25.119, I25.700 through I25.799 and Z13.6, and only when the policy conditions are met.
02BCBSMS makes no payment for services not documented to be medically necessary.
03Billing team: AI-based calcium detection on chest CT (HCPCS G0680) is listed as investigational.
04Billing team: When quantitative assessment is performed in the same encounter as contrast-enhanced cardiac CT (codes 75572-75573) or coronary CT angiography (code 75574), it is included in that service.
05Billing team: Network providers billing the technical component of the CT must be accredited in Coronary CTA by the IAC, or hold a Cardiac CT module accreditation from the ACR or RadSite.
06The professional component is reimbursed based on the accreditation of the facility.

Codes mentioned

75571755727557375574S8092G0680I25.10I25.119I25.700I25.799Z13.6

Original notice

Computed Tomography to Detect Coronary Artery Calcification
bcbsms.com · Always check the source before changing claims.
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Related changes

See all Blue Cross & Blue Shield of Mississippi changes →
Cardiac Computed Tomographic Angiography (CCTA)MediumEffective Oct 1, 2026 · Medical PolicyTransmyocardial RevascularizationMediumNo effective date · Medical PolicyCoronary Computed Tomography Angiography with Selective Noninvasive Fractional Flow ReserveMediumNo effective date · Medical PolicyBrowse every Blue Cross & Blue Shield of Mississippi change in the policy list

Related policy hubs

Blue Cross & Blue Shield of Mississippi policiesCardiologyRadiologyCode 75571Code 75572Code 75573Code 75574Code S8092Code G0680Code I25.10Code I25.119Code I25.700Code I25.799Code Z13.6

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