Corporate Compliance

Transmittals and MLN Matters articles: CMS implements NCD, releases MLN Matters article

Medicare Insider, July 21, 2009

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CMS implements FDG PET NCD

On July 17, CMS issued two transmittals to implement its recent NCD for FDG PET for solid tumors and 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.

Effective date: April 6, 2009
Implementation date: August 17, 2009 for local edits; OCTOBER 5, 2009, for FISS and CWF edits

View the transmittal to the NCD manual.

View the transmittal to the Claims Processing Manual.

MLN Matters article

CMS released an MLN Matters article related to a transmittal previously outlined in Medicare Weekly Update.



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