DecisionHealth, DecisionHealth - 2009 Issue 8 (August)

CMS tweaks coverage of PET scans for determining treatment strategy

You've got a new set of rules to follow to get paid for PET scans used to determine an initial treatment strategy for most types of cancer. CMS is adding coverage for some procedures while removing coverage for others; the agency is also creating additional modifiers to aid billing. Transmittal 1772 to the Medicare Claims Processing Manual, released July 17, is intended to differentiate PET scans used to determine an initial treatment strategy from scans used guide all subsequent treatment.

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