Cigna will end prior authorizations for CT angiogram of the heart, coronary arteries and bypass grafts with contrast material, according to a news release from the Society of Cardiovascular Computed Tomography. This includes 3D image post-processing. The change removes preauthorization rules for CPT code 75574 in all of Cigna’s markets except Hawaii, Puerto Rico and Guam.
In addition, Cigna removed prior authorization for fractional flow reserve-computed tomography.
For coverage under the policy, patients must have stable chest pain and an intermediate risk of coronary artery disease.
“The favorable policy update shows that Cigna recognizes the use of CTA and FFR-CT as a front-line test which can lead to improved patient outcomes,” Dustin Thomas, MD, chair of the society’s advocacy committee, said in a news release.
More articles on payers:
Humana to open 100+ Medicare centers by 2023
Blue Shield of California to oversee state’s COVID-19 vaccine distribution
UnitedHealth must redo 67K claims, judge rules
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
