|
39.3.3 Computed Tomography (CT) Scan
The Texas Medicaid Program pays for CT scans for specific diagnoses.
When a CT scan and an MRI of the same body area are performed on the same day, the CT scan will be paid and the MRI will be denied as part of an overlapping diagnostic procedure. Additional MRIs and/or CT scans of entirely different body areas performed on the same day will be paid with documentation of medical necessity.
Freestanding facilities may submit only the technical component of the CT scan. The radiologist or neurologist who then reads the scan will submit only the interpretation.
|
