NCDActive
FDG PET for Soft Tissue Sarcoma (Replaced with Section 220.6.17) - RETIRED
NCD303
Effective: April 10, 2023
Updated: December 31, 2025
Policy Summary
This policy (NCD303, section 220.6.12) is retired and removed from the NCD Manual; it has been replaced by section 220.6.17. There are no coverage criteria contained in this retired section — consult 220.6.17 for the current FDG PET coverage, documentation, and prior authorization requirements.
Coverage Criteria Preview
Key requirements from the full policy
"This policy (220."
Sign up to see full coverage criteria, indications, and limitations.
Covered Medical Codes