A positron emission tomography (PET) scan is a medical imaging procedure that uses small amounts of radioactive material to create images of the inside of the body. PET scans can be used to diagnose a variety of conditions, including cancer, heart disease, and Alzheimer's disease.

Does Medicare Cover PET Scans?

Does Medicare cover PET scans?

Yes, Medicare generally covers PET scans that are medically necessary. This means that the scan must be ordered by a doctor and it must be considered to be the most appropriate way to diagnose or treat the patient's condition.

What are the eligibility requirements for Medicare coverage of PET scans?

In order to be eligible for Medicare coverage of a PET scan, you must meet the following requirements:

  • You must be enrolled in Medicare Part A or Medicare Part B.
  • You must have a doctor's order for the PET scan.
  • The PET scan must be considered to be medically necessary.
  • The PET scan must be performed by a Medicare-approved provider.

What are the costs of PET scans?

The cost of a PET scan can vary depending on the facility where the scan is performed and the type of PET scan that is ordered. However, the average cost of a PET scan is around $2,500.

How can I find a Medicare-approved provider who performs PET scans?

You can find a Medicare-approved provider who performs PET scans by using the Medicare Provider Directory. The Provider Directory is a searchable database that contains information about all Medicare-approved providers. You can search the Provider Directory by provider name, location, or specialty.

What should I do if my Medicare claim for a PET scan is denied?

If your Medicare claim for a PET scan is denied, you have the right to appeal the decision. You can appeal the decision by submitting a written appeal to your Medicare regional office. The appeal must be submitted within 60 days of the date of the denial notice.