Positron Emission Tomography Scans Coverage - R21

This coverage article has been revised and published for notice under contract numbers: 02101 (AK), 02201 (ID), 02301(OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

Effective Date: January 01, 2020
Summary of Article Changes: The following CPT codes are added to Group 2 applicable tracer codes: 78429, 78430, 78431, 78432, 78433 and 78434. The following CPT codes are added to Group 3 applicable tracer codes: 78429, 78432 and 78433. They were previously added in R18 to Group 1 diagnosis codes and this revision clarifies appropriate tracer codes.

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            Last Updated Tue, 16 Jun 2020 19:13:26 +0000