Medicare Covered Clinical Conditions, HCPCS/CPT Codes, and Descriptions for FDG PET—Coincidence Gamma Camera Only
| Covered clinical condition | Code | Code description |
|---|---|---|
| Colorectal Cancer | G0231 | PET, whole body, for recurrence of colorectal or colorectal metastatic cancer |
| Determining location of colorectal tumors if rising CEA level suggests recurrence | ||
| Lymphoma | G0232 | PET, whole body, for recurrence of lymphoma |
| Staging or restaging of lymphoma only when used as an alternative to a gallium scan | ||
| Melanoma | G0233 | PET, whole body, for recurrence of melanoma or melanoma metastatic cancer |
| Evaluating recurrence of melanoma prior to surgery as an alternative to a gallium scan | ||
| Single Pulmonary Nodule (SPN) | G0234 | PET, regional or whole body, for single pulmonary nodule following CT, or for initial staging of pathologically diagnosed non-small cell lung cancer |
| Characterization of single pulmonary nodules following CT, lesion not to exceed 4 cm or | ||
| Lung Cancer—Non Small Cell | ||
| Initial Staging |