MED.00116 Near-Infrared Spectroscopy Scanning for Brain Hematoma Screening

This policy addresses near-infrared spectroscopy (NIRS) scanning for brain hematoma screening (e.g., InfraScanner). Anthem considers NIRS hematoma scanning investigational and not medically necessary; it is not covered for any indication or clinical setting, including evaluation of suspected traumatic brain injury. Claims (e.g., HCPCS/CPT 93998) will be denied as investigational/not medically necessary, with no exceptions or medical-necessity criteria.

"Near-infrared spectroscopy scanning for brain hematoma screening (that is, InfraScanner) is consideredinvestigational and not medically necessaryfor all indications."

Sign up to see full coverage criteria, indications, and limitations.