Practice Management

Physician Quality Reporting Initiative website is available.

CMS issues final decision not to limit coverage of CTA. Read about it.

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Computed Tomographic Angiography (CTA) of the Coronary Arteries

Effective for services on or after April 1, 2006, Palmetto GBA, Medicare Part B will cover computed tomographic angiography (CTA) of the coronary arteries for the following indications:

1. To provide the physician additional clinical information in the diagnostic evaluation of a patient with a current uninterpretable or equivocal stress imaging test.

2. To assist the physician in his/her management decision for the newly symptomatic patient who has undergone prior coronary artery revascularization for coronary artery disease.

3. To assess the symptomatic patient for suspected congenital anomalies of the coronary circulation.

Coverage of CTA is limited to multi-slice CT devices that process thin, high resolution slices, less than 1.0 mm. CT angiography is not covered for calcium scoring or to determine cardiac morphology.

Only CPT code 0146T is covered for the following ICD-9 codes: 413.0-413.9, 414.00-414.07, 414.11, 414.12, 414.8, 414.9, 746.85, 786.50, 786.51, 786.59, and 794.30.