Effective January 1, 2026, eviCore has revised their clinical guidelines

​​​​​Independence Blue Cross (IBX) is announcing that, effective January 1, 2026, eviCore's Radiation Oncology program has revised its clinical guidelines, which are available for review on their website.

These updates apply to all lines of business that have opted into the eviCore Enhanced Utilization Management Program for Radiation Oncology.

What has changed

Updates include several coding changes based on eviCore management review and the Centers for Medicare & Medicaid Services (CMS) 2026 quarterly code update. 

The following Current Procedural Terminology (CPT®) codes have been added to Attachment A of this policy:  

  • 77436, 77437, 77438, 77439  

The following CPT/Healthcare Common Procedure Coding System (HCPCS) codes have been removed from Attachment A of this policy: 

  • A9543, A9590, 77750, 79403, 77014, 77385, 77386, 77401, 0394T, G6001, G6002, G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014, G6015, G6016, G6017  

The following CPT codes have been revised in this policy:  

  • 77402, 77407, 77412  

Learn more

For more information, please refer to the following policies, effective January 1, 2026:


To access the most updated version of any active policy, please refer to the Medical and Claim Payment Policy Portal or simply navigate to the Commercial or Medicare Advantage policy bulletins.

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