G0680, Detection and quantification of coronary artery calcium and/or aortic valve
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Key Coverage Criteria
- BCBSIL does not cover CT detection of coronary artery calcification (CAC) for asymptomatic or symptomatic scenarios unless specific state-mandated exceptions apply; generally not medically necessary.
- CAC CT for detection of coronary artery calcification is not medically necessary.
4 Active Policies
BCBSIL-RAD604.009, Computed Tomography to Detect Coronary Artery Calcification
BCBSMT-RAD604.009, Computed Tomography to Detect Coronary Artery Calcification
BCBSNM-RAD604.009, Computed Tomography to Detect Coronary Artery Calcification
BCBSOK-RAD604.009, Computed Tomography to Detect Coronary Artery Calcification
Related Codes
Have a follow-up question?
Ask Verity about documentation requirements, denial risks, or coverage in your state.