Medicare Coverage of Imaging Services

Medicare covers imaging services that are performed or supervised by a physician who is certified or eligible to be certified by the American Board of Radiology or for whom radiology services account for at least 50 percent of the total amount of charges made under...

BILLING AND PAYMENT ON MEDICARE INSTITUTIONAL CLAIMS

Services Furnished in Hospitals to Inpatients Imaging services provided under arrangement are billed under Part A to Medicare Fiscal Intermediaries (FIs) and A/B MACs, using revenue codes. Payment for physician’s imaging services to the hospital, for example,...

COVERAGE CRITERIA FOR BONE MASS MEASUREMENTS: Procedure code 77086

1. There must be an order by the individual’s physician or qualified nonphysician practitioner treating the patient following an evaluation of the need for a measurement, including a determination as to the medically appropriate measurement to be used for the...

Radiology: Computed Tomographic (CT) Colonography (L30896) PART A

Coverage Indications, Limitations, and/or Medical Necessity Indications CT colonography, also known as virtual colonoscopy, utilizes helical computed tomography of the abdomen and pelvis to visualize the colon lumen, along with 2D or 3D reconstruction. The test...

PROCEDURE CODE 74261, 74262, 74263

Coverage Indications, Limitations, and/or Medical Necessity Indications CT colonography, also known as virtual colonoscopy, utilizes helical computed tomography of the abdomen and pelvis to visualize the colon lumen, along with 2D or 3D reconstruction. The test...