Traditional MedicareCoverageMedium impact
Positron Emission Tomography (FDG) for Oncologic Conditions
Medicare/CMS - NCD·Oncology, Nuclear Medicine, Diagnostic Imaging·National Coverage Determination
Effective date
Apr 30, 2026
We identified it
Jun 17, 2026
Summary
This is a National Coverage Determination for Positron Emission Tomography (FDG) for oncologic conditions, updated April 30, 2026. Without the full policy text, specific changes cannot be determined, but this affects PET scan billing for cancer patients under Medicare.
Action Required
Immediately: Billing team must review the updated National Coverage Determination 220.6.17 at https://www.cms.gov/medicare-coverage-database/data/ncd?ncdid=331&ncdver=4 to identify specific changes to PET scan coverage criteria for oncologic conditions. Update billing protocols and documentation requirements accordingly for Medicare patients receiving FDG-PET scans.