Business Wire·Nov 9, 2026, 8:30 AM ET

QT Imaging Secures Medicare Outpatient Reimbursement for QTscan®, Effective January 2027

CMS established a separate Medicare hospital outpatient payment classification for diagnostic QTscan examinations, reversing an earlier proposal to classify them as nonpayable.
The new payment status becomes effective January 1, 2027, under the 2027 Medicare Hospital Outpatient Prospective Payment System (OPPS) rule.
QTscan is assigned CPT code 1079T, effective October 1, 2026, within Ambulatory Payment Classification (APC) 5522 with status indicator "S".
CMS recognized that physician-ordered QTscan examinations addressing specific diagnostic findings qualify under Medicare's existing diagnostic ultrasound coverage framework.
Reimbursement remains subject to medical necessity & documentation requirements, with routine screening of asymptomatic patients not covered under current rules.
The decision removes reimbursement uncertainty & supports broader clinical adoption & commercial expansion for hospitals across the United States.