Advanced Search

Radiology Coding Alert

Confused by CMS's New PET Coverage Policy? We've Got Answers

Published on Mon May 11, 2009

NOPR stats seal the deal for expanded tumor imaging coverage. If youve been reporting to the National Oncologic PET Registry (NOPR), congratulations -- your hard work has paid off. The lowdown: CMS is crediting data submitted to NOPR for a recent expansion of PET coverage for initial anti-tumor treatment strategy. This expansion in coverage for PET scans shows that the Coverage with Evidence Development program is a success, according to CMS acting administrator CharleneFrizzera in an April 6 release. CED allowed us to cover an emerging technology, learn more about its usage in clinical practice, and adjust our coverage policies accordingly. For a great many patients, who would otherwise have to pay out-of-pocket for their PET scans, this CMS decision will save thousands of dollars. It will also allow more providers to offer this lifesaving care to our nations seniors, stated R. Edward Coleman, MD, in an ACR press release. Coleman [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Radiology Coding Alert

View All