Medicare Claims Processing Manual (Pub. 100-04), Ch. 13 § 60.10
Coverage of PET Scans for PET Scan for Thyroid Cancer
60.10 - Coverage of PET Scans for PET Scan for Thyroid Cancer
(Rev. 527, Issued: 04-15-05, Effective: 01-28-05, Implementation: 04-18-05)
For services furnished on or after October 1, 2003, Medicare covers the use of FDG PET
for thyroid cancer only for restaging of recurrent or residual thyroid cancers of folliculark
cell origin that have previously been treated by thyroidectomy and radioiodine ablation
and have a serum thyroglobulin > 10ng/ml and negative I-131 whole body scan.
Contractors shall advise providers to use the appropriate CPT code from section 60.3.1
for thyroid cancer for services performed on or after January 28, 2005.