Effective April 16, 2012, FOCUS must be used prior to outpatient SPECT MPI and Stress Echocardiography tests for select practices in Western Pennsylvania.

SPECT MPI tests are identified by CPT codes 78451, 78452, 78453, 78454, 78466, 78468, 78469, 78481, 78483, 78499. STRESS ECHO tests are identified as CPT codes 93350, 93351, 93352.

Requirements

Eligibility/Coverage

Completion of FOCUS only provides clinical decision support and does NOT perform an eligibility check nor imply coverage for imaging services for Highmark members. Please continue to confirm member coverage and eligibility by logging on to www.NaviNet.net.

Resources

Help/Support

  • General Questions: For general questions or technical support contact ACC FOCUS customer support at: 1-800-253-4636 ext 5445 or focus@acc.org.
  • FOCUS Patient Look-up: You will need to enter each new patient, including Highmark Family ID at least once into the system. If a patient that has already been entered into FOCUS, you can search for that patient by Highmark Family ID.