concerned with aortic disease, such as Marfan syndrome, should periodically for changes of great arteries, aorta (main artery) be investigated.
MRI angiography is one of the few imaging techniques, the slightest change to the inner wall of the great arteries in the chest and stomach area represents. This research method is not recommended in patients with pacemakers or carriers of joint implants.
The ultrasound (TEE or TTE) provides only limited to as a backup. Not all areas of the large vessels in the chest or abdomen can be captured with the ultrasound.
Another alternative study, CT angiography (CTA / CT with the addition of contrast agent) is.
The services provided by a contract doctor, acc. the Uniform Rating Scale be (EBM, www.kbv.de/ebm2010 ) basis. The fee positions for MRI angiography, TEE is available. For CT angiography can be found in the EBM not charge position. After
comment by Wezel and Liebold (standard work on the medical legal fees) provides for the National Association of Statutory Health Insurance Physicians (KBV), CT angiography not as part of the services provided by statutory health insurance funds.
A request for reimbursement of CT angiography in the statutory health insurance showed that this method provides a so-called individual health services (IGEL) is. The Institute's services is shared between the federal physicians' association and set up the medical professions. From their perspective, the services are indeed reasonable, but can not be supplied at the expense of public health insurance.
A CT angiography with evaluation of costs on the scale of several 100 €. The elimination of this method of investigation of the EBM for some stakeholders may have fatal consequences.
A petition to the decision makers could bring relief. Do you support this request, you can, for example, contact the Patient Representative. The contact of the patient representative can ask for the following four organizations:
MRI angiography is one of the few imaging techniques, the slightest change to the inner wall of the great arteries in the chest and stomach area represents. This research method is not recommended in patients with pacemakers or carriers of joint implants.
The ultrasound (TEE or TTE) provides only limited to as a backup. Not all areas of the large vessels in the chest or abdomen can be captured with the ultrasound.
Another alternative study, CT angiography (CTA / CT with the addition of contrast agent) is. The services provided by a contract doctor, acc. the Uniform Rating Scale be (EBM, www.kbv.de/ebm2010 ) basis. The fee positions for MRI angiography, TEE is available. For CT angiography can be found in the EBM not charge position. After
comment by Wezel and Liebold (standard work on the medical legal fees) provides for the National Association of Statutory Health Insurance Physicians (KBV), CT angiography not as part of the services provided by statutory health insurance funds.
A request for reimbursement of CT angiography in the statutory health insurance showed that this method provides a so-called individual health services (IGEL) is. The Institute's services is shared between the federal physicians' association and set up the medical professions. From their perspective, the services are indeed reasonable, but can not be supplied at the expense of public health insurance.
A CT angiography with evaluation of costs on the scale of several 100 €. The elimination of this method of investigation of the EBM for some stakeholders may have fatal consequences.
A petition to the decision makers could bring relief. Do you support this request, you can, for example, contact the Patient Representative. The contact of the patient representative can ask for the following four organizations:
- the German Disability
- the Federal Association of the patients' place
- the German Association Selbsthilfegruppene.V.
- the Federal Consumer Association
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