All PlansCoverageMedium impact
Artificial Intelligence Augmented Analysis of Atherosclerotic Plaque from Computed Tomography Scan
Regence BlueShield·Radiology, Cardiology·Coding
Effective date
Jan 1, 2026
We identified it
Jun 16, 2026
Summary
New policy establishes that AI-augmented analysis of atherosclerotic plaque from CT scans is considered investigational for all indications, meaning these services will not be covered by insurance and providers can bill patients directly. This affects radiology practices offering AI-enhanced plaque analysis software tools.
Action Required
Before January 1, 2026: Billing team must update system to flag AI-augmented CT plaque analysis services as non-covered/investigational. Providers must inform patients before rendering these services that they will be financially responsible for costs. Update encounter forms and patient consent processes to reflect investigational status.