2025 Head - Amyloid AddendumEffective 11/25/2025 - 02/02/2026

EviCore by Evernorth · PayerPolicy · EVICORE-CARDIOVASCULAR_RADIOLOGY-39460DC2346F

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

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
78811	CPT	Covered
78814	CPT	Covered