70487 coverage policies: Medicare and commercial payers

4 active Medicare policies list 70487, and 19 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.

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Medicare policies listing 70487

LCD · NORIDIAN-JE-L37373

MRI and CT Scans of the Head and Neck

JE · Effective Oct 8, 2018

LCD · NORIDIAN-JF-L37373

MRI and CT Scans of the Head and Neck

JF · Effective Oct 8, 2018

Article · A58559

Billing and Coding: Independent Diagnostic Testing Facilities (IDTF)

National · Effective Aug 6, 2026

Article · A57204

Billing and Coding: MRI and CT Scans of the Head and Neck

National · Effective Oct 1, 2026

Commercial payer policies listing 70487

19 policies from 14 payers

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Carelon Medical Benefits Management

Carelon Medical Benefits Management policies listing 70487, with the code’s status in each
Policy	Effective	Status of 70487
Imaging of the Head and NeckClinical Guideline · CARELON-IMAGING-OF-THE-HEAD-AND-NECK	Apr 4, 2026	Covered
Imaging of the Head and Neck [for Amerigroup Georgia Medicaid]Clinical Guideline · CARELON-IMAGING-OF-THE-HEAD-AND-NECK-SUPERSEDED	Apr 14, 2024	Covered
Oncologic ImagingClinical Guideline · CARELON-ONCOLOGIC-IMAGING	Apr 4, 2026	Covered
Oncologic Imaging [for Amerigroup Georgia Medicaid]Clinical Guideline · CARELON-ONCOLOGIC-IMAGING-SUPERSEDED	Nov 15, 2025	Covered
Site of Care for Advanced Imaging

Policy	Effective	Status of 70487
Cigna Commercial & Medicare Cardiology & Radiology Code ListPayerPolicy · EVICORE-HPLAN-CIGNA_MEDICARE-B17FDA871CCE	Jan 1, 2026	Prior auth required
Cigna OBM Radiology Code ListPayerPolicy · EVICORE-HPLAN-CIGNA_MEDICARE-8D36BD1DD145	Jan 1, 2026	Prior auth required

70487 coverage policies: Medicare and commercial payers

Medicare policies listing 70487

MRI and CT Scans of the Head and Neck

MRI and CT Scans of the Head and Neck

Billing and Coding: Independent Diagnostic Testing Facilities (IDTF)

Billing and Coding: MRI and CT Scans of the Head and Neck

Commercial payer policies listing 70487

Carelon Medical Benefits Management

70487 coverage policies: Medicare and commercial payers

Medicare policies listing 70487

MRI and CT Scans of the Head and Neck

MRI and CT Scans of the Head and Neck

Billing and Coding: Independent Diagnostic Testing Facilities (IDTF)

Billing and Coding: MRI and CT Scans of the Head and Neck

Commercial payer policies listing 70487

Carelon Medical Benefits Management

Cigna Medicare Advantage / HealthSpring

Aetna

BCBS Illinois

BCBS Montana

BCBS New Mexico

BCBS Oklahoma

EmblemHealth GHI

EOCCO / Moda Health

Health Alliance Plan

Health Partners Plans / Jefferson Health Plans

The Health Plan

UMR (UnitedHealthcare)

UnitedHealthcare