Corporate Compliance

Other Issuances: CMS posts decision memo, updates FAQs

Medicare Insider, April 7, 2009

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CMS posts final decision memo for positron emission tomography for solid tumors

On April 3, CMS posted a final decision memo in which it announced revisions to Section 220.6 of the Medicare NCD Manual to reflect a new framework for most solid tumor oncologic indications and for myeloma. CMS is adopting a coverage framework that replaces the four-part diagnosis, staging, restaging and monitoring response to treatment categories with a two-part framework that differentiates FDG PET imaging used to inform the initial antitumor treatment strategy from other uses related to guiding subsequent antitumor treatment strategies after the completion of initial treatment.

View the decision memo.

Frequently asked questions

CMS posted several new/updated frequently asked questions (FAQ) related to coding and Medicare fee-for-service payment.

View the coding FAQs.

View the fee-for-service FAQs.



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