Positron Emission Tomography (PET) Scan
Positron Emission Tomography (PET) scans are a limited benefit and may be covered for:
- Evaluation of ischemic heart disease
- Diagnosis and management of seizure disorders
- The following malignancies: bladder (metastatic), lung, lymphoma, pancreas, differentiated thyroid (follicular, papillary and Hurthle cell), gastrointestinal stromal tumor, ovarian cancer, and recurrent colorectal cancer
- Diagnosis, staging, restaging, and monitoring of oncologic indications when supported by National Comprehensive Cancer clinical practice guidelines
- Diagnosis of cardiac sarcoidosis
PET scans are not a covered benefit for:
- The following malignancies:
- Gastric
- Differentiated thyroid and medullary cell thyroid (initial diagnosis)
- Colorectal (initial diagnosis and monitoring of treatment)
- Renal mass or possible renal cell carcinoma recurrence (diagnosis)
- The following non-malignancies:
- Alzheimer's disease
- Fronto-temporal dementia
- Dementia
- Systemic sarcoidosis
Cost Information