Anthem Blue Cross Connecticut Commercial Clinical Policy

RAD.00067 Quantitative Ultrasound for Tissue Characterization Form

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Procedure is not covered

Effective Date

04/12/2023

Last Reviewed

02/16/2023

Original Document

Reference

This document addresses quantitative ultrasound to evaluate visceral organs and other anatomic structures by using imaging data and software to analyze tissue characteristics. This technology is being explored as a noninvasive means to identify tissue traits without performing biopsies or using contrast agents.

Note: Elastography is a type of tissue characterization and is not addressed in this document.

Position Statement

Investigational and Not Medically Necessary:

Quantitative ultrasound for tissue characterization is considered investigational and not medically necessary for all indications.

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RAD.00067 Quantitative Ultrasound for Tissue Characterization Form

Procedure is not covered

Position Statement

Choose how you'd like to learn more.

Try GenHealth free.

GenHealth is the best way to run RCM including eligibility, prior auth, billing, and denials with AI that works like a teammate in your EMR and billing systems.

RAD.00067 Quantitative Ultrasound for Tissue Characterization Form

Procedure is not covered

Position Statement

Choose how you'd like to learn more.

Try GenHealth free.

Automate intake, eligibility, and PA with AI agents that work in your EMR and billing systems.