Radiation therapy services for A9590 require authorization starting April 1 for all Blue Cross and BCN members

For dates of service on or after April 1, 2020, services associated with HCPCS code A9590 (iodine i-131, iobenguane, 1 millicurie) require authorization by eviCore healthcare.

This applies to all Blue Cross and Blue Care Network members with plans subject to eviCore healthcare authorization requirements:

• Blue Cross' PPO
• Medicare Plus Blue^SM PPO
• BCN HMO^SM
• BCN Advantage^SM

We've updated the document titled Procedures that require clinical review by eviCore healthcare to reflect this new requirement.

How to submit authorization requests

Submit authorization requests to eviCore in one of these ways:

• Preferred: Use evicore's provider portal at www.evicore.com.*
• Alternative: Call eviCore at 1-855-774-1317.
• Alternative: Fax to eviCore at 1-800-540-2406.

Additional information

For more information, refer to the document titled eviCore Management Program: Frequently Asked Questions.

You can find this document and other resources on this website:

• The BCN eviCore-Managed Procedures webpage
• The Blue Cross eviCore-Managed Procedures webpage

*Blue Cross and BCN don’t own or control this website.