Appendix E - National Coverage Determinations Manual / 220.6.7

Why This Topic Matters

Coverage policies for advanced imaging affect whether services are payable under Medicare and how medical records should support the service. Understanding this NCD helps organizations align ordering, documentation, and review processes with the policy’s stated scope and effective dates.

Article Sections

1. FDG PET for Head and Neck Cancers (Various Effective Dates Below)

   Introduces the Medicare coverage policy for FDG PET in head and neck cancer and notes the policy’s effective-date framework. It also identifies the general cancer scope and the coverage context addressed in the article.

2. Limitations

   Summarizes the policy’s stated exclusions and timing-related limitations. This section also points readers to related coverage material for a separate cancer type.

3. Requirements

   Outlines the broad clinical situations discussed for coverage and the documentation expectation referenced by the policy. The section is organized around diagnosis, staging/restaging, and monitoring response to treatment.