NCDActive
Positron Emission Tomography (NaF-18) to Identify Bone Metastasis of Cancer
NCD336
Effective: December 15, 2021
Updated: December 31, 2025
Policy Summary
CMS has determined there are no nationally covered indications for PET with F-18 sodium fluoride (NaF-18) and designates PET NaF-18 as nationally non-covered effective December 15, 2017. Other PET radiopharmaceutical tracers for cancer may be covered at local Medicare Administrative Contractor discretion when used according to their FDA‑approved indications.
Coverage Criteria Preview
Key requirements from the full policy
"PET using F-18 sodium fluoride (NaF-18) to identify bone metastasis of cancer is nationally non-covered effective December 15, 2017."
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