Appendix E - National Coverage Determinations Manual / COMPUTERIZED_TOMOGRAPHY

Why This Topic Matters

CT services are common in radiology and are subject to coverage and compliance review. Understanding the policy context helps organizations assess whether the article is relevant to their documentation, equipment, and billing workflows.

Article Sections

1. Computerized Tomography 220.1

   Introduces the Medicare coverage framework for CT services and the general considerations used to evaluate whether a scan is covered.

2. General

   Summarizes the overall conditions discussed for CT coverage and the broad factors used in review of claims.

3. Determining Whether a CT Scan Is Reasonable and Necessary

   Describes the claim-review focus for determining whether CT services are appropriate for a patient’s situation.

4. Approved Models of CT Equipment

   Outlines the policy area addressing equipment approval and documentation associated with qualifying CT systems.

5. Criteria for Approval

   Covers the general approval criteria referenced for CT equipment models.

6. Evidence of Approval

   Describes the types of approval evidence referenced for CT scanner systems and related manufacturer documentation.

7. Mobile CT Equipment

   Addresses coverage and operational considerations for CT services performed on mobile units.

8. Hospital Setting

   Discusses the hospital-related responsibilities described for mobile CT services provided in inpatient and outpatient environments.

9. Ambulatory Setting

   Covers the facility and supervision considerations described for mobile CT services outside a hospital-based setting.

10. Billing for Mobile CT Scans

    Notes the billing context referenced for mobile CT services in relation to stationary equipment services.

11. Claims Review

    Summarizes the claim review emphasis described for mobile CT services and associated compliance checks.

12. Multiplanar Diagnostic Imaging (MPDI)

    Explains the section discussing multiplanar diagnostic imaging as an additional CT-related service and its coverage context.