Update to Billing Requirements for FDG-PET Scans for Use in the Differential Diagnosis of Alzheimer's Disease (AD) and Fronto-Temporal Dementia (FTD) and Update to the FI Billing Requirements for Special Payment Procedures for ALL PET Scan Claims for Services Performed in a Critical Access Hospital (CAH)
This CR revises billing requirements for CR 3426, Transmittal # 24, dated October 1, 2004; PET Scans for AD by removing the edit for one
scan per beneficiary's lifetime for PET AD Scans and to add requirements for specifying ICD-9 diagnosis coding. Section 60.1 of the IOM is also being updated to include specific payment information for claims for all PET Scans for services submitted by Critical Access Hospitals (CAHs). All other information regarding coverage and billing for FDG-PET Scans for Use in the Differential Diagnosis of Alzheimer’s Disease (AD) and Fronto-Temporal Dementia (FTD) remains the same.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 14, 2005
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