Contrast-enhanced coronary computed tomography angiography (CCTA) for evaluation of individuals with acute chest pain and without known coronary artery disease in the emergency department setting is considered medically necessary.
Contrast-enhanced CCTA for evaluation of individuals with stable chest pain and meeting guideline criteria for a noninvasive test in the outpatient setting (see Policy Guidelines) is considered medically necessary.
Contrast-enhanced CCTA for evaluation of individuals with suspected anomalous (native) coronary arteries is considered medically necessary.
Contrast-enhanced CCTA for coronary artery evaluation is considered investigational for all other indications.
