405 IAC 5-27-7
405 IAC 5-27-7 Positron emission tomography
Cite as Ind. Admin. Code tit. 405, r. 5-27-7
Sec. 7. (a) As used in this section, "positron emission tomography" or "PET" scan means any diagnostic test that utilizes a radioactive
substance to look for disease in the body or staging of a disease. This also includes any combined radiologic exam, such as a computerized
tomography (PET-CT) exam or magnetic resonance (PET-MR) exam.
(b) Prior authorization shall be required for all PET scans.
(c) Medicaid reimbursement may be available for PET scans performed for medically necessary conditions as determined by the office.