5 of 7 Medicare Administrative Contractors approve payment for imaging AI software
Radiology Business October 28, 2024
Five of seven Medicare Administrative Contractors have now approved payment for a CT imaging artificial intelligence software.
The coverage determination pertains to AI-enabled, CT-based heart disease assessment. Providers have the potential to earn Medicare payment if the software is deployed in medically appropriate scenarios. These include when an individual is eligible for coronary CT angiography, presents with acute chest pain, and has no known heart disease.
Vendors offering the AI software include Cleerly, HeartFlow and Elucid.
“Coronary artery disease is the underlying cause of about 50% of deaths,” Ron Blankstein, MD, director of cardiac CT at Brigham and Women’s Hospital in Boston, said in an Oct. 24 announcement from HeartFlow. “The earlier we can diagnose and use tools to...