Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Blue Cross & Blue Shield of MississippiAll Plans · Coverage · Medical Policy · Cardiology, RadiologyMedium impact

Coronary Computed Tomography Angiography with Selective Noninvasive Fractional Flow Reserve

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

Summary

Noninvasive fractional flow reserve following a positive coronary computed tomography angiography may be considered medically necessary to guide decisions about invasive coronary angiography for individuals with stable chest pain and intermediate risk of coronary artery disease (suspected or presumed stable ischemic heart disease). Noninvasive fractional flow reserve that does not meet these criteria is considered investigational. The 10/16/2026 update revised the policy description regarding the Heartflow Analysis and made minor changes to the medically necessary statement.

Get alerts when payers change rules like this one

We check Blue Cross & Blue Shield of Mississippi and other payers every day and email you when a change matches your specialty and state.

Get Blue Cross & Blue Shield of Mississippi alertsPolicy Monitoring is free. No card required.

What to do

Action · 3 steps
01Billing team: Before billing noninvasive fractional flow reserve (CPT 75580) after a positive coronary computed tomography angiography, confirm the individual has stable chest pain and intermediate risk of coronary artery disease (suspected or presumed stable ischemic heart disease).
02The policy considers noninvasive fractional flow reserve that does not meet these criteria investigational.
03The listed medically necessary codes are CPT 75580 with ICD-10 codes I20.9, I25.112, I25.118, I25.119, I25.752, I25.758 and I25.759, and these codes are ONLY medically necessary if the procedure is performed according to the policy section.

Codes mentioned

75580I20.9I25.112I25.118I25.119I25.752I25.758I25.759

Original notice

Coronary Computed Tomography Angiography with Selective Noninvasive Fractional Flow Reserve
bcbsms.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross & Blue Shield of Mississippi changes →
Transmyocardial RevascularizationMediumNo effective date · Medical PolicyComputed Tomography to Detect Coronary Artery CalcificationHighNo 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 75580Code I20.9Code I25.112Code I25.118Code I25.119Code I25.752Code I25.758Code I25.759

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account