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MA09.012a, Full-Body Computerized Tomography (CT) Scan Screening

Independence Blue Cross·Radiology, Internal Medicine, Oncology +1 more·Medical Policy
Effective date
Jun 24, 2026
We identified it
Jun 25, 2026
Days to comply

Summary

INSUFFICIENT DATA: Policy MA09.012a regarding Full-Body CT Scan Screening for Medicare Advantage has been reissued effective 06/24/2026, but the actual policy content, coverage criteria, billing codes, and specific requirements are not provided in the source material. The medical billing team cannot implement changes without access to the full policy text.

Action Required

Action needed
URGENT - By 06/10/2026: Billing team must obtain and review the complete MA09.012a policy text from the source URL (https://medpolicy.ibx.com/ibc/ma/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=06&FilterField2=MPSiteActivityLogYear&FilterValue2=2026#medicare-advantage-ma09-012a-full-body-computerized-tomograp) or contact the payer directly. Do NOT process full-body CT screening claims under old guidance after 06/24/2026. Once policy details are obtained, determine: (1) whether prior authorization is required, (2) applicable CPT codes for full-body CT screening, (3) medical necessity criteria, (4) patient age/risk factor requirements, and (5) any documentation needs. Update billing software, encounter forms, and provider notifications accordingly. Claims processed without compliance to the reissued policy will face denials.