NCDActive
FDG PET for Lymphoma (Replaced with Section 220.6.17) - RETIRED
NCD300
Effective: April 10, 2023
Updated: December 31, 2025
Policy Summary
NCD300 (FDG PET for Lymphoma) is retired and removed from the NCD Manual; it provides no active coverage criteria. The retired policy was replaced by section 220.6.17 effective April 3, 2009, and that section should be consulted for current FDG PET for lymphoma coverage, documentation, and frequency limits.
Coverage Criteria Preview
Key requirements from the full policy
"This NCD (NCD300: FDG PET for Lymphoma) has been retired and removed from the NCD Manual and no longer contains active coverage criteria."
Sign up to see full coverage criteria, indications, and limitations.