FDG PET

FDG PET/CT Coverage

Medicare has approved 559 diagnosis codes for and 26 FDG metabolic brain codes using fluorodeoxyglucose (FDG) for scanning purposes. To help visualize coverage areas as they relate to CPT codes, NCPIC wanted to illustrate the anatomy coverage and corresponding CPT code.

FDG PET scan covering skull base to mid-thigh

Approved Code: 78815

Tracer used: A9552 (FDG)

Coverage: skull base to mid-thigh.

Clinical Use: Most commonly ordered PET exam.

Note: Approved for initial staging and restaging of oncology indications.

FDG PET brain scan

Approved Code: 78608

Tracer used: A9552 (FDG)

Coverage: brain

Clinical Use: FDG for brain metabolic evaluation of Alzheimer’s, Picks or other dementias.

Note: If attempting to order a PET for mild dementia and potential therapy treatment (leqembi®) please order an amyloid PET versus a FDG brain.

FDG PET scan covering top of head to bottom of feet

Approved Code: 78816

Tracer used: A9552 (FDG)

Coverage: top of head to bottom of feet.

Clinical Use: Multiple Myeloma, Melanoma, Osteosarcoma, Cutaneous t-cell lymphoma (or other appropriate lymphomas).

Note: Approved for initial staging and restaging of oncology indications.

Locations

  • Sacramento

  • Rocklin

Having not always the best experience with other medical service providers, this location is a breath of fresh air! Kind and thoughtful staff and tech! and many thanks to the Billing department for making this visit possible

Patient MS (Sacramento) – referred by Dr. Nicholson

Was treated very well. Technician was extra helpful with assisting me and getting me ready for the scan

Patient LS (Rocklin) – referred by Dr. Carroll

The staff members also the technologist were very friendly and made me comfortable. Thank all of you

Patient RG (Sacramento) – referred by Dr. Aguilar

I have visited many medical facilities during my course in the healthcare industry. NCPIC is at the top of the list for friendly, professional and beautifully designed and decorated, thank you

Patient RS (Rocklin) – referred by Dr. Mittal

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