Appendix E - National Coverage Determinations Manual / 220.6.1

Why This Topic Matters

Coverage determinations affect whether services are payable, what documentation must be retained or submitted, and how claims are reported. Understanding this NCD section helps organizations align cardiac PET billing and medical record support with Medicare policy.

Article Sections

1. PET for Perfusion of the Heart

   Introduces the coverage topic and identifies the policy section addressed in the article.

2. Rubidium 82 (Effective March 14, 1995)

   Summarizes the first covered radiopharmaceutical period and the general coverage context for cardiac PET perfusion imaging. It also discusses documentation and claim-submission references associated with earlier billing periods.

3. Ammonia N-13 (Effective October 1, 2003)

   Summarizes the later covered radiopharmaceutical period and the general coverage context for cardiac PET perfusion imaging. It includes references to related testing context and the policy’s review history.