Radiology Services, High Tech:Resources

Shared resources

Procedure codes for which providers must request prior authorization — See this document to determine which procedure codes require prior authorization
Frequently asked questions about Carelon: For cardiology, radiology (high technology) and sleep studies (in lab) — Answers questions about prior authorization requirements for cardiology services, high-tech radiology services and in-lab sleep studies
Radiology procedures (high-tech imaging): For prior authorization determinations — Includes information about utilization management programs

Blue Cross resources

For FEP members: Procedures that require authorization by Carelon: Radiology (high technology) — A list of the procedure codes Carelon manages for members who have coverage through the Blue Cross and Blue Shield Federal Employee Program^® and receive services in Michigan

Carelon Medical Benefits Management is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to manage prior authorizations for select services.