Billing and Coding: Positron Emission Tomography Scans Coverage - R30 - Article effective October 29, 2021

This coverage article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (HI and Territories), and 01312 (NV).

Effective Date: October 29, 2021
Summary of Article Changes: For the effective dates stated for A9591 in Group 14, A9592 in Group 15 and A9593 and A9594 in Group 16, added a statement indicating the tracer will be paid to Part A facilities when billed with one of the diagnosis codes listed for the specific group.

Added the NCD number for FDG Refractory Seizures in the Group 3 Paragraph.

Correction to Revision History 26: C7B.01-C7B.09 when billed with A9592 were added effective for DOS 04/01/2021.

Visit the National Coverage Determination (NCD) webpage to view the NCD coverage articles.

            Last Updated Thu, 11 Nov 2021 13:49:42 +0000