Does Medi-Cal cover CT scans?

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asked Jun 25, 2023 in Other- Health by Pamward1544 (1,220 points)
Does Medi-Cal cover CT scans?

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answered Jun 25, 2023 by Daltonthreet (11,170 points)
Medi-Cal does cover CT scans that are ordered by the doctor.

The Medi-Cal reimbursement for the CT scans of multiple anatomic sites that are performed at teh same session and time on the same date are.

Medi-Cal reimbursement for the professional component (modifier 26) is 100 percent for the CT scan with the highest reimbursement price and 75 percent for all other CT scans.

Medi-Cal covers most medically necessary care which also includes doctor and dentist appointments, prescription drugs, vision care, family planning, mental health care, and drug or alcohol treatment.

Medi-Cal also covers transportation to these services.

Free air on a CT scan means and indicates a perforated abdominal viscus.

The most common cause of the perforated abdominal viscus is a peptic ulcer.

People with this condition need urgent surgery.

A PET Scan is better than a CT Scan as it shows more issues than a CT Scan does.

However a PET Scan takes longer and is more time consuming than a CT Scan.

In emergency situations when doctors need to act fast the CT Scan is much better but sometimes the PET Scan is needed to show any possible additional problems.

A CT scan shows detailed pictures of the organs and tissues inside your body.

A PET scan can find abnormal activity and it can be more sensitive than other imaging tests.

It may also show changes to your body sooner.

Doctors use PET-CT scans to provide more information about the cancer.

The cost of a PET Scan ranges from $3,000.00 to $12,000.00 depending on what is being scanned during the PET Scan.

For example the costs of a PET Scan depending on the body parts being scanned through the PET scan is listed below.

Whole Body PET Scan $3,000.00 - $12,000.00

Heart PET Scan    $2,800.00 - $24,200.00

Brain PET Scan    $2,200.00 - $10,700.00

Skull to Mid-thigh PET Scan $3,200.00 - $12,000.00

PET scans take between 2-4 hours to complete, and are significantly more expensive than CT scans.

The radiation exposure of a PET scan is about the same as an x-ray.

A PET-CT scan can cost $5,000.00 or more, according to one U.S. medical center.

That does not include the cost of added tests and procedures due to false alarms.

Some insurance plans do not pay for routine (surveillance) PET scans in a healthy patient who has completed cancer treatment.

CT scans pass x-rays through the body to create images.

A PET scan uses a radioactive material which emits energy.

The energy is then detected by a special camera to produce images.

A PET scan is more time-consuming: A CT scan is performed in minutes.

Your doctor may order a PET scan to inspect your blood flow, your oxygen intake, or the metabolism of your organs and tissues.

PET scans show problems at the cellular level, giving your doctor the best view of complex systemic diseases.

PET scans are most commonly used to detect: cancer.

PET units are only eligible for Medicare funding if they are provided by a comprehensive practice that provides a full range of diagnostic imaging and cancer treatment services at the one site; Only PET scans that use the 'standard FDG tracers' are eligible under Medicare.

The entire PET scan process takes about two hours.

It can take up to 60 minutes for your body to absorb the injected radiotracer.

During this time, you'll need to sit quietly and limit your movements.

Not all cancers show up on a PET scan.

PET scan results are often used with other imaging and lab test results.

Other tests are often needed to find out whether an area that collected a lot of radioactive material is non-cancerous (benign) or cancerous (malignant).

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