Payer PolicyActive
RAD.00067 Quantitative Ultrasound for Tissue Characterization
ANTHEM-RAD.00067
Anthem
Effective: April 16, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses quantitative ultrasound (QUS) for tissue characterization, including systems such as Toshiba Aplio, Siemens ACUSON, GE LOGIQ E10, and AI/ML-based QUS techniques. Anthem deems QUS for tissue characterization investigational and not medically necessary for all indications; therefore, it is not covered. There are no covered indications or exceptions, regardless of device brand, FDA 510(k) status, clinical setting, or use of AI/ML algorithms.
Coverage Criteria Preview
Key requirements from the full policy
"Quantitative ultrasound for tissue characterization is consideredinvestigational and not medically necessaryfor all indications."
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