Computed Tomography

Medicare covers CT scans (head and body) when they are reasonable and necessary for the individual patient, supported by medical/scientific evidence, and performed on CT equipment models known to the FDA and in full market release. MPDI is covered as part of a covered CT, and mobile CT scans are covered under the same medical necessity and equipment-approval rules provided state radiation-control laws are followed and appropriate physician supervision and documentation (including hospital privileges or an attending order) are maintained. No national coverage determination exists for CTA; coverage decisions for CTA are deferred to local MACs, and claims may be denied for unsupported indications, excessive frequency, noncompliant equipment, or missing documentation.

"CT scans of the head or other body parts are covered when the scan is reasonable and necessary for the individual patient based on the patient’s symptoms and preliminary diagnosis and when medical/..."