NOTE: Policies for the use of CT colonography are subject to change and may vary from health plan to health plan
Bleeding disorder
Contraindication to sedation
Recent myocardial infarction
Fiberoptic colonoscopy attempted but incomplete
Pickhardt, Perry J., Hassan, Cesare, Laghi, Andrea, Kim, David H., Zullo, Angelo, Iafrate, Franco, Morini, Sergion Is There Sufficient MDCT Capacity to Provide Colorectal Cancer Screening with CT Colonography for the U.S. Population? Am. J. Roentgenol. 2008 190: 1044-1049
Pickhardt, Perry J. Screening CT Colonography: How I Do It Am. J. Roentgenol. 2007 189: 290-298
Johnson, C. Daniel, Manduca, Armando, Fletcher, Joel G., MacCarty, Robert L., Carston, Michael J., Harmsen, W. Scott, Mandrekar, Jay N. Noncathartic CT Colonography with Stool Tagging: Performance With and Without Electronic Stool Subtraction Am. J. Roentgenol. 2008 190: 361-366 “CONCLUSION. In this increased-risk referral population, CT colonography in the non-cathartic-tagged colon without dietary restrictions compared favorably with optical colonoscopy.”
Perry J. Pickhardt, David H. Kim, and Andrew J. Taylor Asymptomatic Pneumatosis at CT Colonography: A Benign Self-Limited Imaging Finding Distinct from Perforation Am. J. Roentgenol., Feb 2008; 190: W112 – W117
Kim, David H., Pickhardt, Perry J., Taylor, Andrew J., Leung, Winifred K., Winter, Thomas C., Hinshaw, J. Louis, Gopal, Deepak V., Reichelderfer, Mark, Hsu, Richard H., Pfau, Patrick R. CT Colonography versus Colonoscopy for the Detection of Advanced Neoplasia N Engl J Med 2007 357: 1403-1412
James Brice CMS rules against Medicare payment for CT colonography Diagnostic Imaging. May 12, 2009
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