NCDActive
Positron Emission Tomography (PET) Scans - RETIRED
NCD211
Effective: April 10, 2023
Updated: December 31, 2025
Policy Summary
As of January 1, 2022, the umbrella NCD for PET scans was retired; Medicare Administrative Contractors (MACs) now determine coverage for oncologic and non-oncologic PET uses not addressed by a specific NCD under section 1862(a)(1)(A). Any PET indications that are included in other NCDs under section 220.6 remain unchanged and MACs may not alter those NCD-determined coverages.
Coverage Criteria Preview
Key requirements from the full policy
"Effective January 1, 2022, the umbrella national coverage determination (NCD) for Positron Emission Tomography (PET) scans was removed; Medicare Administrative Contractors (MACs) will make coverage..."
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