Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 220 - Radiology
Chapter 1 - General
Rule 23-220-1.7 - Computed Tomography (CT) Scans and Computed Tomography Angiography (CTA)

Universal Citation: MS Code of Rules 23-220-1.7

Current through September 24, 2024

A. Effective July 1, 2013, Computed Tomography (CT) scans and Computed Tomography Angiography (CTA), with or without contrast, must be prior authorized by the radiology UM/QIO as noted in Rule 1.2.

B. The Division of Medicaid does not cover:

1. A limited or follow-up CT scan for any given area of the body during the same encounter as a full diagnostic CT scan,

2. A two (2)-dimensional rendering after a three (3)-dimensional rendering of a CT scan,

3. A CT/SPECT (Single Photon Emission Computed Tomography) nuclear medicine imaging only for:
a) Localization, or

b) Attenuation correction purposes,

3. A whole body CT for screening of asymptomatic beneficiaries, or

4. The performance of CT screenings in healthy beneficiaries.

Miss. Code Ann. § 43-13-121; 42 CFR §§431.10(e), 440.230(d).

Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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