Advanced Imaging Policies

Credence partners with Carelon Medical Benefits Management to administer advanced imaging solutions for our customers.

Clicking "Accept" below will take you to a website operated by Carelon Medical Benefits Management. Carelon is our business associate and is an independent company that provides diagnostic testing, information and services. Carelon has agreed to follow Credence privacy and security policies regarding the confidentiality and protection of personal health information.

Note: Coverage is subject to member's specific benefits. Group-specific policies will supersede these policies when applicable. Please refer to member's benefit plan.

Current Imaging Policies

To view medical policies for advanced imaging services, click "Accept" below the policy type you wish to view.

Cardiology

Radiology

Previous Imaging Policies

For a copy of previous imaging policies, email MedicalBenefitsManagement.Guidelines@Carelon.com, indicating the specific dates and guidelines needed.

Precertification of Advanced Imaging Services

Some advanced imaging services require precertification. Click the link below to view a list of CPT/HCPCS codes.

Advanced Imaging CPT Codes Requiring Precertification