PET and PET/CT Coverage

PET and PET/CT Coverage The following table lists the type of cancers that the Centers for Medicare and Medicaid Services (CMS) covers for positron emission tomography (PET) and positron emission tomography (PET)/computed tomography (CT) studies. A more descriptive table of National Oncologic PET Registry (NOPR)-covered and non-covered indications is available on the NOPR web site at www.cancerpetregistry.org/indications.htm . The NOPR web site also provides many important notes on coverage that are helpful to understanding the type of cancers CMS covers for PET and PET/CT studies. PET and PET/CT Coverage Table Tumor Type Initial Treatment Strategy Subsequent Treatment...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes CMS coverage status for PET and PET/CT imaging by cancer type and explains the related coverage labels used in the table. It is useful for coders, billing staff, compliance teams, and imaging professionals who need a high-level view of Medicare coverage policy and related registry and evidence-development references.

Why This Topic Matters

Coverage for PET and PET/CT varies by cancer type and treatment context, so understanding the policy landscape helps support accurate reimbursement workflows and coverage awareness. The article also points readers to CMS and NOPR references that inform how these imaging services are discussed in Medicare policy materials.

What You Will Learn

  • How CMS categorizes PET and PET/CT coverage by tumor type
  • Which cancers are discussed in the coverage table
  • How the article frames coverage changes, exceptions, and evidence development
  • Where the article points readers for additional NOPR and CMS coverage information

Who Should Read This

  • Medical coders
  • Billing specialists
  • Compliance staff
  • Radiology practices
  • Oncology practices
  • Reimbursement analysts

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