CT Virtual Colonoscopy

Medicare Eligibility Details


Medicare Coverage for a CT Virtual Colonoscopy is available on the basis of a referral by a Medical Practitioner after an incomplete colonoscopy is performed or a contraindication to a colonoscopy is present under the provision of the following medicare items:

 

56552, 56554.

 

Medicare Item numbers:

Items 56552:

Item 56554:

The request for a scan states that one of the following contraindications to a colonoscopy is present:

Definition of an Incomplete Colonoscopy:

For audit purposes, an incomplete colonoscopy is defined as one that is not completed for technical or medical reasons and must have been performed in the preceding 3 months.

 

For more information:

To find out more go to the MBS online

 

The information provided above is from the Federal Department of Health and Ageing.