tci Part B Insider - 2004 Issue 38

Coverage: Is It Time To Take A Second Look At Virtual Colonoscopy?

New policy making the procedure reimbursable in some cases could start a trend.One payer has done a flip-flop that could mean more money in your pocket.Empire Medicare Services reversed its 2003 position on virtual colonoscopy, also known as CT colonography. In October 2003, Empire said it wouldn't cover such procedures under any circumstances. But in a local coverage determination that took effect in mid-September, Empire said it would cover virtual colonoscopy in circumstances where a regular colonoscopy failed."Virtual colonoscopy is reimbursable only when performed following an instrument colonoscopy which was incomplete due to an obstructing lesion...

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