Appendix E - National Coverage Determinations Manual / 220.6.8

Why This Topic Matters

Coverage policies for cardiac imaging can affect medical necessity review, claim accuracy, and recordkeeping. Understanding the effective dates and scope of this NCD helps organizations apply the correct Medicare guidance for myocardial viability studies.

Article Sections

1. FDG PET for Myocardial Viability (Various Effective Dates Below)

   Introduces the Medicare coverage topic and the clinical context for myocardial viability assessment. It frames the policy in relation to cardiac imaging and revascularization planning.

2. Coverage periods and scanner types

   Describes how the policy changed across effective-date periods and addresses scanner configuration scope. It presents the time-based coverage framework at a high level.

3. Limitations and documentation

   Summarizes the policy's stated limitation involving follow-up imaging and the need to retain supporting documentation. It also points to related SPECT coverage information.