23 MAC Pt. 220, Ch. 1, R. 1.7
Computed Tomography (CT) Scans and Computed Tomography Angiography (CTA)
Cite as 23 Miss. Admin. Code Pt. 220, Ch. 1, R. 1.7
Computed Tomography (CT) Scans and Computed Tomography Angiography (CTA)
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.