Answer_Book / Pet_Scan / Cancers and indications eligible for payment

Why This Topic Matters

PET scan coverage for oncology is highly indication-specific, so accurate categorization affects claim handling, registry participation, and reimbursement review. This article helps users quickly determine whether a cancer-related PET service falls into a covered, non-covered, or registry-related category.

Article Sections

1. Cancers and indications eligible for payment

   Overview of PET scan coverage categories by cancer type and indication. Includes general notes about Medicare coverage status and registry entry considerations.

2. Indications (diagnosis code) table

   A tabular listing of cancer sites and related diagnosis groups organized by diagnosis, staging, restaging, and monitoring categories. The table also marks special coverage statuses and exception notes for selected indications.

3. Source notes

   Brief explanatory notes defining the table’s symbols and summarizing selected coverage qualifiers. Also identifies the source of the registry-related guidance.