Corporate Compliance

Transmittal corrects PET coverage error

Compliance Monitor, August 8, 2007

On July 20, CMS released a transmittal correcting erroneous information from Chapter 13 of the Medicare Claims Processing Manual in regard to PET scan services. Procedure 78609 is removed from the list of covered codes (effective 1/28/2005).

The not otherwise classified (NOC) radiopharmaceutical code, A464, is not an applicable tracer code for PET scans (effective 1/1/2008).

To read the transmittal, click here.

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