According to a final decision released on March 12, the Centers for Medicare & Medicaid Services (CMS) has decided that they will not issue a national coverage determination on the use of computed tomography angiography (CTA) for coronary artery disease at this time. Coverage for the procedure will be determined by the contractors through the local coverage determination (LCD) process or through case-by-case adjudication. The final decision represented a change to what CMS had proposed in December 2007, when the agency said it would cover CTA for beneficiaries in research studies only through the coverage with evidence development (CED) process.

The determination can be accessed at http://www.cms.hhs.gov/manuals/downloads/ncd103c1_Part4.pdf.