New Draft LCDs Available for Comment

on Thursday, 04 March 2010. All News Items

Cahaba GBA will be receiving comments on the following Draft LCDs from March 1, 2010 through April 15, 2010:

  • Pathology and Laboratory: Vitamin D Assay Testing
  • Radiology: Computed Tomographic (CT) Colonography
  • Radiology: Magnetic Resonance Angiography of the Head and Neck

Key points from the draft policies are:

  • Screening for Vitamin D deficiency is not covered.  The policy includes a list of covered indications and diagnosis codes.
  • CT colonography is only indicated:

- In those patients in whom an instrument colonoscopy of the entire colon is incomplete due to an inability to pass the colonoscope proximally, due to one of the following:
o An obstructing neoplasm
o Scarring or aberrant anatomy with obstruction from prior surgery, radiation, diverticular disease
o Extrinsic compression
This is intended for use in pre-operative situations when knowledge of the unvisualized colon proximal to the obstruction would be of use to the surgeon in planning the operative approach to the patient.
- When ordering physician determines and documents instrument colonoscopy cannot be safely attempted. Such contraindications may include severe coagulopathy, increased sedation risk, etc.

  • MRA of the Head and Neck is used to verify the need for anticipated surgery and the only covered diagnosis code in the draft policy is V72.83, Other specified pre-operative examination.

The draft LCDs can be accessed at Cahaba GBA Draft LCDs
Comments can be submitted in writing or via email to This email address is being protected from spambots. You need JavaScript enabled to view it..

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