CommercialDocumentationMedium impact
09.00.58b, Coronary Artery Calcium (CAC) Testing Using Computed Tomography (Independence Administrators)
Independence Blue Cross·Cardiology, Radiology, Internal Medicine·Medical Policy
Effective date
Sep 19, 2026
We identified it
Sep 9, 2026
Summary
Independence Administrators has updated medical necessity criteria for Coronary Artery Calcium (CAC) Testing Using Computed Tomography (Policy 09.00.58b). This is a fresh policy change effective 09/19/2026 that may impact coverage decisions, prior authorization requirements, or documentation standards for CAC screening procedures. The specific criteria changes are not detailed in the provided policy header, requiring immediate review of the full policy text to determine billing and clinical workflow impacts.
Action Required
By September 19, 2026: Billing team and clinical staff must obtain and review the complete Policy 09.00.58b text from the Independence Administrators policy portal (https://medpolicy.ibx.com/ibc/Commercial/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=09&FilterField2=MPSiteActivityLogYear&FilterValue2=2026#commercial-09-00-58b). Identify specific changes to medical necessity criteria for CAC testing and determine if prior authorization, documentation requirements, or billing code usage has changed. Update billing system rules, encounter forms, and provider notifications accordingly. Brief providers and clinical staff on any new documentation or eligibility requirements. Test billing system changes before the effective date to prevent claim denials.