Current Reimbursable Indications

The first reimbursable indication for CT colonog-raphy was studying the colon following a failed colonoscopy. Currently, CT colonography is coded under the CPT category III code 0066T for screening and 0067T for diagnostic CT colonography. Reimbursement of CTC exams by Medicare and many third party payers is approved for diagnostic CTC only and only with specified ICD-9 codes. Medicare does not currently cover colon cancer screening and, therefore, patients have to pay out of pocket in the US. To date, Wisconsin is the lone state that has successfully lobbied the local major third party payers and secured reimbursement for screening CTC. This is likely just the beginning of trends to come in the near future (Barish 2004).

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