1. Does my insurance cover Virtual Colonoscopy screenings?

2. Do I have to have a bowel prep for Virtual Colonoscopy?

3. What if a polyp or tumor is found on the Virtual Colonoscopy?

4. How much radiation is involved in Virtual Colonoscopy?

5. If I have to pay for Virtual Colonoscopy myself, what is the cost?

6. Is Virtual Colonoscopy a non-invasive test?

7. I am on blood thinners. Will I have to stop them before the Virtual Colonoscopy?

8. Is Virtual Colonoscopy safe?  Is there a risk of colon perforation?

9. Will I need someone to drive me to and from the Virtual Colonoscopy?

10. Is Virtual Colonoscopy painful?

11. Is Virtual Colonoscopy as reliable as conventional flexible colonoscopy?

Q. Does my insurance cover Virtual Colonoscopy screenings?

 A. Kentucky Commercial insurance companies are now required to reimburse for Screening Virtual Colonoscopy just as it would for any colon cancer screening test recommended by the American Cancer Society. Medicare and Medicaid do not yet cover for these screening tests.  If your doctor orders these tests because of symptoms and you have been unable to complete a traditional colonoscopy, or if your Gastroenterologists feels that you are not a candidate for traditional optical colonoscopy, then Medicare and most commercial insurance companies will pay for them.  If the test is ordered and done only for screening purposes, a few will pay, but most will not. BACK TO TOP

Q. Do I have to have a bowel prep for Virtual Colonoscopy?

 A. Yes, a cleansing bowel prep is necessary. Any solid material remaining in the colon would make it impossible to identify small polyps. We recommend a Magnesium Citrate and Bisacodyl preparation protocol with a liquid diet the day before. These items can be purchased over the counter at most pharmacies and drug stores. We do not recommend Golytely or other similar liquid preparations for routine cases. BACK TO TOP

Q. What if a polyp or tumor is found on the Virtual Colonoscopy?

 A. If a polyp or tumor is found, another test such as flexible colonoscopy or surgery will be required for removal.  This is the same for any noninvasive screening test.  If we do find significant polyps (and if patient desires), we have made arrangements with gastroenterologists and colorectal surgeons to have our patients seen the same day for traditional optical colonoscopy in order to avoid returning another day and having another bowel prep. BACK TO TOP

Q. How much radiation is involved in Virtual Colonoscopy?

 A. We perform a CT Abdomen and Pelvis with the patient on their back and then again on their stomach, so there would be more radiation than a conventional CT scan. However, the amount of radiation involved is still within a safe range. BACK TO TOP

Q. If I have to pay for Virtual Colonoscopy myself, what is the cost?

 A. We require payment of $751 at the time of the test.   BACK TO TOP

Q. Is Virtual Colonoscopy a non-invasive test?

 A. This test requires the insertion of a small tube into the rectum and inflating the colon with air or carbon dioxide.  This is much like having an enema.  There are no needles or injections required and therefore it is noninvasive. BACK TO TOP

Q. I am on blood thinners.  Will I have to stop them before the Virtual Colonoscopy?

 A. No. Since Virtual Colonoscopy is noninvasive, blood thinners are not a problem, as they are with conventional flexible colonoscopy. BACK TO TOP

Q. Is Virtual Colonoscopy safe? Is there a risk of colon perforation?

 A. Virtual Colonoscopy is very safe. There is virtually no risk of colon perforation such as there is in a small percentage of cases with conventional flexible colonoscopy. BACK TO TOP

Q. Will I need someone to drive me to and from the Virtual Colonoscopy?

 A. No. Virtual Colonoscopy does not require any sedation, pain medications, oral or IV medications. BACK TO TOP

Q. Is Virtual Colonoscopy painful?

 A. Patients describe Virtual Colonoscopy as uncomfortable with mild cramping (but not painful) when the colon is being filled with air. The CT scan can be completed in one or two breath holds and then the rectal tip is removed and the air is expelled or absorbed. BACK TO TOP

Q. Is Virtual Colonoscopy as reliable as conventional flexible colonoscopy?

 A. Virtual Colonoscopy has been shown to be as good as conventional flexible colonoscopy in detecting clinically significant polyps and cancers. Virtual Colonoscopy will visualize the entire colon in most cases. Conventional colonoscopy will fail to visualize the entire colon in 10 to 15% of cases. BACK TO TOP

© Neurodiagnostics P.S.C., 2001-10
1725 Harrodsburg Road, Suite 100
Lexington, KY 40504
Phone 859-278-7226 or Toll Free 800-755-7441
Fax 859-276-1540