Cardiac CT wins one battle, but struggle has just begun

May 1, 2008 Cardiac CT wins one battle, but struggle has just begun James Brice -------------------------------------------------------------------------------- Medicare's decision against a national coverage determination for coronary CT angiography is not the end of conflict for the modality. It is just the beginning. The next battle involves fulfilling the promises the multisociety alliance made to assure the Centers for Medicare and Medicaid Services that its acceptance of coronary CT will not turn into a multibillion-dollar debacle. Here's the background: In mid-December, CMS proposed a national coverage determination that would have set aside local policies that authorize payment for coronary CT angiography in all 50 states. Instead, CMS would have limited reimbursement for coronary CTA to symptomatic patients with chronic angina at intermediate risk of coronary artery disease and symptomatic patients with unstable angina at low short-term risk of death or intermediate risk of CAD.

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