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).
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