Optum360 coding books logo
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
March 27, 2018

Spring OPPS Update Released

The Centers for Medicare and Medicaid Services (CMS) summarized the spring update to the outpatie... Learn More

Therapy Caps Repealed and Payment for Therapy Assistant Services Lowered

Medicare payment caps on outpatient therapy were permanently repealed effective January 1, 2018. ... Learn More

OIG Update Work Plan, Studies Cardiac Device Credits

In March, the Office of Inspector General (OIG) posted several updates to its existing Work Plan,... Learn More

View Article Archive

To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:

Medical Coding News Archives

CMS Analyzes Coverage of Screening Colonography

October 28, 2008:

If the Centers for Medicare and Medicaid Services decides to cover computed tomography colonography, other payers could follow suit. The agency is conducting a national coverage analysis and plans to release a proposed decision in February 2009.

Right now, the Centers for Medicare and Medicaid Services offers colorectal cancer screening through various modalities, including fecal occult blood testing, sigmoidoscopy, colonoscopy, and barium enema. Coverage for these service is extended to average-risk individuals, 50 years of age or older.

The American Cancer Society, as well as the US Multi Society Task Force on Colorectal Cancer and the American College of Radiology, issued new guidelines on March 5, 2008, regarding cancer screening. One recommendation advised considering whether CTC, or computed tomography colonography, as a viable option to other screening modalities for these particular individuals. Medicare (and most other payers) does not cover CTC under the existing colorectal cancer screening benefits.

CTC is also called a “virtual” colonoscopy. It uses CT to acquire images as well as 2- and 3-dimensional image display techniques for interpretation. At this time, there are two category II codes that may be used to report or track this service: 0066T Computed tomographic (CT) colonography (i.e., virtual colonoscopy); screening and 0067T Computed tomographic (CT) colonography (i.e., virtual colonoscopy); diagnostic.

On May 19, 2008, public comments were solicited to help CMS analyze national coverage. The agency is especially interested in data from clinical studies and other scientific information pertaining specifically to the CTC technology.

CMS, in concert with other appropriate organizations, is using the national coverage decision process to determine if other types of colorectal cancer screening tests, not currently approved, may be appropriate. This NCA will review all available evidence pertaining to screening CTC before determining whether a national coverage decision is warranted.

Karen M Prescott
Clinical/Technical Editor


Sign in to
Your Account
Forgot your username?
Forgot your password?
Don't have an account?
It's easy to create one.

Promo code

Have a promotional source code? Enter it here:

What is this?