Medicare Reimbursement

Click here to download and print a PDF guide that explains Medicare reimbursement for PET-CT as of April 18, 2005. Reimbursement information is provided by Cardinal Health as general coding and payment information.

PET Registry (NEW as of Sept. 2006) Providence Imaging Center is participating in the National Oncologic PET Registry (NOPR).

Participation in the PET Registry will allow Medicare reimbursement for patients with diagnoses not currently covered. Click here for more information.

Private Payers

Private payer coverage for PET often reflects that of Medicare but may vary. Providers should obtain coverage and pre-authorization guidelines for PET from their private payers. In general, private payers use CPT codes for PET scans; however, providers should engage with their local private payers for information about their coding requirements.