Clinical evidence secures reprieve for coronary CTA

July 1, 2008 Diagnostic Imaging. Clinical evidence secures reprieve for coronary CTA James Brice -------------------------------------------------------------------------------- Pending clinical trial results played a pivotal role in the Centers for Medicare and Medicaid Services' decision in March to set aside plans to establish a national payment policy for outpatient multislice coronary CT angiography. Other published trials advanced our understanding of how nuclear cardiology, echocardiography, and cardiac MRI fit in evolving diagnostic practice. The March decision rejected an advisory committee recommendation to demand more evidence to justify reimbursement for coronary CT angiography. A "Coverage with Evidence Development" requirement would have limited payment to a few facilities that participate in CMS-approved clinical trials.

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