Cardiology & Radiology

Clinical Information to Establish Medical Necessity

Effective 10/01/2020

Preface to the Imaging Guidelines

Effective 02/01/2021

Abdomen Imaging Guidelines

Effective 02/01/2021

Breast Imaging Guidelines

Effective 02/01/2021

Cardiac Imaging Guidelines

Effective 02/01/2021

Cardiac Rhythm Implantable Devices (CRID) Guidelines

Effective 02/01/2021

Addendum to the eviCore Imaging Guidelines for Low Dose CT

Effective 03/22/2021

Chest Imaging Guidelines

Effective 02/01/2021

Head Imaging Guidelines

Effective 02/01/2021

Musculoskeletal Imaging Guidelines

Effective 02/01/2021

Neck Imaging Guidelines

Effective 02/01/2021

OB Ultrasound Imaging Guidelines

Effective 11/15/2020

Oncology Imaging Guidelines

Effective 02/01/2021

Pelvis Imaging Guidelines

Effective 02/01/2021

Peripheral Nerve Disorder (PND) Imaging Guidelines

Effective 02/01/2021

Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 02/01/2021

Spine Imaging Guidelines

Effective 02/01/2021

Pediatric Abdomen Imaging Guidelines

Effective 02/01/2021

Pediatric Cardiac Imaging Guidelines

Effective 02/01/2021

Pediatric Chest Imaging

Effective 02/01/2021

Pediatric Head Imaging Guidelines

Effective 02/01/2021

Pediatric Musculoskeletal Imaging Guidelines

Effective 02/01/2021

Pediatric Neck Imaging Guidelines

Effective 02/01/2021

Pediatric Oncology Imaging Guidelines

Effective 02/01/2021

Pediatric Pelvis Imaging Guidelines

Effective 02/01/2021

Pediatric Peripheral Nerve Disorders (PND) Imaging Guidelines

Effective 02/01/2021

Pediatric Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 02/01/2021

Pediatric Spine Imaging Guidelines

Effective 02/01/2021

Addendum to the eviCore Imaging Guidelines

Effective 01/01/2021 - 01/31/2021

Preface to the Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Preface to the Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Preface to the Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Preface to the Imaging Guidelines

Effective 02/14/2020 - 08/31/2020

Preface to the Imaging Guidelines

Effective 09/01/2020 - 09/30/2020

Preface to the Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Addendum to eviCore Guidelines

Effective 01/01/2020 - 02/17/2020

Abdomen Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Abdomen Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Abdomen Imaging Guidelines

Effective 02/15/2019 - 07/31/2019

Abdomen Imaging Guidelines

Effective 08/01/2019 - 02/13/2020

Abdomen Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Abdomen Imaging Guidelines

Effective 07/15/2020 - 09/30/2020

Abdomen Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Breast Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Breast Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Breast Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Breast Imaging Guidelines

Effective 07/15/2020 - 01/31/2021

Cardiac Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Cardiac Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Cardiac Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Cardiac Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Cardiac Imaging Guidelines

Effective 07/15/2020 - 09/30/2020

Cardiac Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Cardiac Rhythm Implantable Devices (CRID) Guidelines

Effective 05/17/2018 - 02/14/2019

Cardiac Rhythm Implantable Devices (CRID) Guidelines

Effective 02/15/2019 - 02/13/2020

Cardiac Rhythm Implantable Devices (CRID) Guidelines

Effective 02/14/2020 - 10/14/2020

Cardiac Rhythm Implantable Devices (CRID) Guidelines

Effective 10/15/2020 - 01/31/2021

Chest Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Chest Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Chest Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Chest Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Chest Imaging Guidelines

Effective 07/15/2020 - 09/30/2020

Chest Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Head Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Head Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Head Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Head Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Head Imaging Guidelines

Effective 07/15/2020 - 09/30/2020

Head Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Musculoskeletal Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Musculoskeletal (MSK) Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Musculoskeletal MSK Imaging Guidelines

Effective 02/15/2019 - 07/31/2019

Musculoskeletal Imaging Guidelines

Effective 08/01/2019 - 02/13/2020

Musculoskeletal Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Musculoskeletal Imaging Guidelines

Effective 07/15/2020 - 09/30/2020

Musculoskeletal Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Neck Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Neck Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Neck Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Neck Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Neck Imaging Guidelines

Effective 07/15/2020 - 09/30/2020

Neck Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

OB Ultrasound Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

OB Ultrasound Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

OB Ultrasound Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

OB Ultrasound Imaging Guidelines

Effective 07/15/2020 - 09/30/2020

OB Ultrasound Imaging Guidelines

Effective 10/01/2020 - 11/14/2020

Oncology Imaging Guidelines

Effective 11/01/2016 - 05/16/2018

Oncology Imaging Guidelines

Effective 05/17/2018 - 08/14/2018

Oncology Imaging Guidelines

Effective 08/15/2018 - 11/12/2018

Oncology Imaging Guidelines

Effective 11/13/2018 - 02/14/2019

Oncology Imaging Guidelines

Effective 02/15/2019 - 04/04/2019

Oncology Imaging Guidelines

Effective 04/05/2019 - 07/31/2019

Oncology Imaging Guidelines

Effective 08/01/2019 - 10/07/2019

Oncology Imaging Guidelines

Effective 10/08/2019 - 12/01/2019

Oncology Imaging Guidelines

Effective 12/02/2019 - 02/13/2020

Oncology Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Oncology Imaging Guidelines

Effective 07/15/2020 - 09/30/2020

Oncology Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Pelvis Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Pelvis Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Pelvis Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Pelvis Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Pelvis Imaging Guidelines

Effective 07/15/2020 - 09/30/2020

Pelvis Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Peripheral Nerve Disorder (PND) Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Peripheral Nerve Disorders (PND) Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Peripheral Nerve Disorder (PND) Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Peripheral Nerve Disorder (PND) Imaging Guidelines

Effective 02/14/2020 - 10/14/2020

Peripheral Nerve Disorder (PND) Imaging Guidelines

Effective 10/15/2020 - 01/31/2021

Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 07/15/2020 - 10/14/2020

Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 10/15/2020 - 01/31/2021

Spine Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Spine Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Spine Imaging Guidelines

Effective 02/15/2019 - 07/31/2019

Spine Imaging Guidelines

Effective 08/01/2019 - 02/13/2020

Spine Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Spine Imaging Guidelines

Effective 07/15/2020 - 09/30/2020

Spine Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Abdomen Imaging Guidelines

Effective 02/01/2021 - 02/01/2021

Pediatric Abdomen Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Pediatric Abdomen Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Pediatric Abdomen Imaging Guidelines

Effective 02/15/2019 - 07/31/2019

Pediatric Abdomen Imaging Guidelines

Effective 08/01/2019 - 02/13/2020

Pediatric Abdomen Imaging Guidelines

Effective 02/14/2020 - 09/30/2020

Pediatric Abdomen Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Pediatric Cardiac Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Pediatric Cardiac Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Pediatric Cardiac Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Pediatric Cardiac Imaging Guidelines

Effective 02/14/2020 - 09/30/2020

Pediatric Cardiac Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Pediatric Chest Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Pediatric Chest Imaging

Effective 05/17/2018 - 02/14/2019

Pediatric Chest Imaging

Effective 02/15/2019 - 02/13/2020

Pediatric Chest Imaging

Effective 02/14/2020 - 09/30/2020

Pediatric Chest Imaging

Effective 10/01/2020 - 01/31/2021

Pediatric Head Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Pediatric Head Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Pediatric Head Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Pediatric Head Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Pediatric Head Imaging Guidelines

Effective 07/15/2020 - 09/30/2020

Pediatric Head Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Pediatric Musculoskeletal Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Pediatric Musculoskeletal Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Pediatric Musculoskeletal Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Pediatric Musculoskeletal Imaging Guidelines

Effective 02/14/2020 - 09/30/2020

Pediatric Musculoskeletal Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Pediatric Neck Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Pediatric Neck Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Pediatric Neck Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Pediatric Neck Imaging Guidelines

Effective 02/14/2020 - 09/30/2020

Pediatric Neck Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Pediatric Oncology Imaging Guidelines

Effective 11/01/2016 - 05/16/2018

Pediatric Oncology Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Pediatric Oncology Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Pediatric Oncology Imaging Guidelines

Effective 02/14/2020 - 07/14/2020

Pediatric Oncology Imaging Guidelines

Effective 07/15/2020 - 09/30/2020

Pediatric Oncology Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Pediatric Pelvis Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Pediatric Pelvis Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Pediatric Pelvis Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Pediatric Pelvis Imaging Guidelines

Effective 02/14/2020 - 09/30/2020

Pediatric Pelvis Imaging Guidelines

Effective 10/01/2020 - 01/31/2021

Pediatric Peripheral Nerve Disorders (PND) Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Pediatric Peripheral Nerve Disorders PND Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Pediatric Peripheral Nerve Disorders PND Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Pediatric Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Pediatric Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Pediatric Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Pediatric Peripheral Nerve Disorders (PND) Imaging Guidelines

Effective 02/14/2020 - 10/14/2020

Pediatric Peripheral Nerve Disorders (PND) Imaging Guidelines

Effective 10/15/2020 - 01/31/2021

Pediatric Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 02/14/2020 - 10/14/2020

Pediatric Peripheral Vascular Disease (PVD) Imaging Guidelines

Effective 10/15/2020 - 01/31/2021

Pediatric Spine Imaging Guidelines

Effective 05/22/2017 - 05/16/2018

Pediatric Spine Imaging Guidelines

Effective 05/17/2018 - 02/14/2019

Pediatric Spine Imaging Guidelines

Effective 02/15/2019 - 02/13/2020

Pediatric Spine Imaging Guidelines

Effective 02/14/2020 - 09/30/2020

Pediatric Spine Imaging Guidelines

Effective 10/01/2020 - 01/31/2021