CommercialCoverageMedium impact
Ultrasonographic Measurement of Carotid Intimal-Medial Thickness as an Assessment of Subclinical Atherosclerosis
Blue Cross & Blue Shield of Mississippi·Cardiology, Vascular Surgery, Internal Medicine +2 more·Medical Policy
We identified it
Jun 20, 2026
Summary
Blue Cross Blue Shield updated their policy on carotid intima-media thickness (CIMT) ultrasound measurement, continuing to classify it as investigational and not covered. The policy affects CPT code 93895 for quantitative carotid intima media thickness evaluation, which will be denied as investigational.
Action Required
Immediately: Billing team must ensure CPT code 93895 (quantitative carotid intima media thickness evaluation) is flagged as investigational/non-covered in billing system for BCBS plans. Advise providers that this procedure is considered investigational and claims will be denied. Update encounter forms and EMR to alert providers of non-coverage status.