CommercialCoverageMedium impact
Computed Tomography (CAT Scan) of the Cervical, Thoracic, and Lumbar Spine
Blue Cross & Blue Shield of Mississippi·MS · Orthopedics, Neurosurgery, Radiology +3 more·Medical Policy
We identified it
Jun 20, 2026
Summary
Blue Cross Blue Shield Mississippi updated their policy for CT scans of the cervical, thoracic, and lumbar spine, establishing specific medical necessity criteria and requiring provider accreditation. Network providers performing the technical component must be accredited by IAC, ACR, or RadSite.
Action Required
Immediately: Verify that your facility has current accreditation from IAC, ACR, or RadSite for CT services if billing technical components to BCBS Mississippi. Review medical necessity documentation for spine CT orders to ensure they meet the specified criteria including traumatic injuries, degenerative conditions, postoperative evaluations, infectious processes, image guidance, neoplastic conditions, inflammatory lesions, congenital abnormalities, spinal alignment issues, or spinal cord processes. Update prior authorization processes for State Health Plan members as this policy applies to all settings effective 2016.