Link to http://www.medsolutions.com/implementation/vtmedicaid/index.html to view: Provider Orientation & Quick Reference Guide and CPT codes requiring Prior Authorization (PA). PA is required for all elective outpatient CT, MR & PET scans performed on or after 9/1/2010.
Diagnostic Imaging Program Guidelines
All active revenue codes marked with Yes require CPT/HCPCS coding. THE PREPARATION FOR THE IMPLEMENTATION OF OPPS PRICING HAS NOT CHANGED VERMONT MEDICAID POLICY REGARDING NON-COVERED SERVICES
The Prior Authorization Supplement contains billing and policy information. Please refer to the Fee Schedule for the procedure codes that require prior authorization.