Billing and Coding: Computerized Axial Tomography (CT), Thorax

This guideline limits reorders of the same CT thorax CPT code to a maximum of six times per calendar year when performed in outpatient settings (office, outpatient hospital, independent clinic, rural health clinic, and IDTF). It applies only to identical CPT codes and complements LCD L33459 for clinical coverage and documentation requirements.

"The reordering frequency limit applies only to identical CPT codes (i."

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