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CommercialCoverageMedium impact

Cardiac Computed Tomographic Angiography (CCTA)

Blue Cross & Blue Shield of Mississippi·MS · Radiology, Cardiology·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Blue Cross Blue Shield of Mississippi has updated their policy for Cardiac Computed Tomographic Angiography (CCTA), establishing new provider accreditation requirements and specific medical necessity criteria. All network providers billing CCTA technical components must now be accredited by IAC, ACR, or RadSite, and CCTA is only covered for specific indications including intermediate pre-test probability CAD patients with uninterpretable ECG or inability to exercise.

Action Required

Action needed
Immediately: Verify all providers performing CCTA are accredited by IAC, ACR, or RadSite before billing technical components. Update prior authorization protocols to ensure CCTA requests meet the specific medical necessity criteria outlined in the policy, including intermediate pre-test probability of CAD and appropriate clinical scenarios. Train staff on the new pre-test probability table and documentation requirements to avoid claim denials.