Highmark Code List
Comprehensive Cardiology and Radiology Code List: Codes with asterisk(*) indicate new procedures requiring prior authorization through eviCore healthcare effective January 1, 2021: Effective: 1/1/2021 Category CPT® Code2: CPT ...
Download Highmark Code List
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document:
Advertisement
Documents from same domain
Musculoskeletal and Pain Management Program …
www.evicore.com•190+ board-certified medical directors • Diverse representation of medical specialties • 450 nurses with diverse specialties and experience • Dedicated nursing and physician
Programs, Management, Board, Pain, Musculoskeletal, Musculoskeletal and pain management program
Cigna Musculoskeletal Program Interventional Pain ...
www.evicore.com1 July 2016 Cigna Musculoskeletal Program Interventional Pain Management . Frequently Asked Questions . Note: Prior authorization requests should only include those codes for the current Interventional
Programs, Management, Frequently, Pain, Interventional, Musculoskeletal, Musculoskeletal program interventional pain management
CT Abdomen and Pelvis - General Imaging Request
www.evicore.com1.Date of most recent office visit or other contact with physician: Don't Know Phone call with office staff Phone call with physician Don't know
CT Chest, Abdomen and Pelvis Imaging Request
www.evicore.comDon't Know. Phone call with office staff Phone call with physician Don't Know 3.Is abodminal or pelvic pain present? Yes. No Don't Know: 4.Where is the location of pain?
Chest, Request, Imaging, Abdomen, Pelvis, Abdomen and pelvis imaging request
er emb mm/dd/yyyy - eviCore
www.evicore.comMember requires treatment for a different condition Additional care for same condition treated in the last 60 days 2. What is the primary diagnosis?
eviCore healthcare and Cigna Integrated Oncology ...
www.evicore.com1 eviCore healthcare and Cigna Integrated Oncology Management Program Frequently Asked Questions Who is eviCore healthcare? eviCore healthcare (eviCore) is an independent specialty medical benefits management company that provides
Programs, Management, Frequently, Healthcare, Integrated, Oncology, Cigna, Healthcare and cigna integrated oncology, Healthcare and cigna integrated oncology management program frequently
er emb mm/dd/yyyy - eviCore
www.evicore.comReduced strength full range Can't move against gravity Hand function. Reduced strength full range Fingertips don't reach palm Normal strength Normal strength Raises with bent knee Unable
eviCore Radiation Therapy 2019 Guidelines
www.evicore.comfor Radiation Oncology (ASTRO) Evidence-Based Guidelines, or supported by other acceptable peer-reviewed publications. As such, eviCore will not automatically certify a case based solely on the fact that it
Cigna Medical Coverage Policies – Radiology Cardiac Imaging
www.evicore.comIMAGING STUDY Estimate of Effective Radiation Dose . Sestamibi myocardial perfusion study (MPI) 9-12 mSv PET myocardial perfusion study: Rubidium-82
Bone Metastases Radiation Therapy Physician Worksheet (As ...
www.evicore.comBone Metastases Radiation Therapy Physician Worksheet (As of 23 July 2018) 6. What is the reason for treatment? Select all that apply. Extension into viscera or a soft tissue component
Related documents
Blue Cross and BCN: Procedures that require prior ...
ereferrals.bcbsm.comRadiology (high technology) o. Sleep studies, in lab • Medicare Plus Blue members. who reside in Michigan and who receive outpatient diagnostic procedures from Michigan providers, for: o. Cardiology Note: This includes cardiac implantable devices and services, for dates of service on or after Jan. 1, 2021. o. Radiology (high technology) o
2021 CPT Code Reference Guide - raleighrad.com
www.raleighrad.com2 | 2021 Cary Oberlin Fuquay-Varina Blue Ridge Knightdale Wake Forest Clayton Numbers to Know Raleigh Radiology Locations Blue Ridge 3200 Blue Ridge Road, Suite 100 Raleigh, NC 27612 Cary 150 Parkway Office Court, Suite 100 Cary, NC 27518 Clayton 11618 US 70 Business Clayton, NC 27520 Fuquay-Varina 601 Attain Street, Suite 100 Fuquay-Varina, NC ...