CSHCN 2009 > Diagnostic Radiology Services > Benefits, Limitations, and Authorization Requirements

   
 

16.2.4 Computed Tomography (CT) Scan

Scout views and reconstruction are considered part of any CT scan procedure and are not considered for reimbursement in addition to any other CT scan. Procedure code 76380 is denied when submitted with the same date of service as any other CT scan.

Freestanding facilities may submit only the technical component of CT scans. The radiologist or neurologist who then reads the scan may submit only interpretation. In addition, the radiologist or neurologist may submit the interpretation for clients in an inpatient or outpatient setting.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2008 American Medical Association. All rights reserved.
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