Use 74150 and 76375 to Bill for Virtual Colonoscopies

Why This Topic Matters

Virtual colonoscopy sits at the intersection of evolving imaging technology, CPT development, and payer coverage policy. Readers need to know the general coding and reimbursement landscape to determine whether the article applies to their practice and to follow the organizations and code sets mentioned.

Article Sections

1. Virtual colonoscopy overview

   Introduces the imaging service and explains how it is being discussed in relation to established CT-based workflows. The section frames the coding and reimbursement uncertainty surrounding the procedure.

2. CPT panel and professional society discussion

   Summarizes industry discussion about possible future CPT activity and the role of a radiology organization in proposing codes. It also notes unanswered questions about how the service may be classified.

3. Current billing and coverage considerations

   Addresses current billing discussion for the service and general payer coverage concerns, including the importance of medical necessity and local review policy. The section also notes the article’s discussion of screening-related coverage limitations.