Optum360 coding books logo
Optum360Coding.com
    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:
January 25, 2018


Four Tests Added to List of CLIA Waived Tests

In early January, the Centers for Medicare and Medicaid Services (CMS) announced new waived tests... Learn More


New and Revised Vaccine Codes Added to 2018 CPT Code Book

The American Medical Association (AMA) added and revised several vaccine CPT codes for its 201... Learn More


OIG Recommends Measures for Curbing Opioid Misuse and Fraud

Office of Inspector General testimony before the House Committee on Ways and Means in January ... Learn More


View Article Archive

Subscribe:
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
USERNAME
Forgot your username?
PASSWORD
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?

Code This!

Test your coding knowledge!

/VIEW MORE