From the Office of the AGA President
AGA Institute Submits CPT Application for CT Colonography
Nov. 9, 2007
As you know, there has been much in the literature lately about computed tomographic (CT) colonography and its potential as an alternative screening test for colorectal cancer. Therefore, we want to update you on recent activities and share the AGA Institute’s views on the impact of this new technology.
In making decisions, the AGA Institute thinks first about our patients. It is the AGA Institute’s mission to increase colorectal cancer screening rates. While many screening options are currently available, each with its own advantages and disadvantages, a large majority of patients still do not participate in colorectal cancer screening.
The AGA Institute supports optical colonoscopy as the definitive screening test for colon cancer. We also support CT colonography and other screening tests if patients and their physicians believe that test is the appropriate one for them. Recent data suggests that CT colonography is an acceptable technology for colorectal cancer screening.
Earlier this week, the AGA Institute submitted an application to the American Medical Association to establish codes for screening and diagnostic CT colonography. Why? Because the AGA Institute is fighting for its members. We want to preserve your ability to be reimbursed for performing CT colonography if you are interested in the test and possess the appropriate training to do so.
Last year, the AGA Institute convened a task force of gastroenterologists and radiologists to develop the minimum training standards and requirements necessary for gastroenterologist involvement in CT colonography. We’re convening a course in March 2008 for gastroenterologists to learn more about the current state of CT colonography and how it may be implemented into your practice. In moving forward to incorporate new technology into practice, applying for CPT codes is the next step in the progression.
Based on the knowledge that new colorectal cancer screening guidelines from the American Cancer Society, the American College of Radiology, and the Multi Society Task Force are imminent, the AGA Institute decided to be proactive in working with the American Medical Association’s CPT Editorial Panel in order to have codes in place for reporting screening and diagnostic CT Colonography. The November 7 deadline was the last date for submitting a CPT application that would allow for codes to be considered for 2009. We look forward to collaborating with our sister GI societies, radiologists and other interested parties to work together to address the disparities in the coding applications, and to ensure that patients are receiving the best care. The AGA Institute wants to help members offer comprehensive colorectal cancer detection services to patients under the direction of their gastroenterologist.
I want to reiterate that while the AGA Institute supports CT colonography as an alternative screening option, our position remains that colonoscopy is the best test for colorectal cancer screening. Patients should work with their physicians to make informed decisions about their screening and care.
We hope you will join us in continuing to advocate for what’s best for our patients— ensuring that all eligible individuals are screened for colorectal cancer which, as gastroenterologists, is one of our primary goals.
Thank you,
Nicholas F. LaRusso, MD, AGAF
President