Insurance Coverage

Most insurance companies pay for clinically indicated PET procedures. To be clinically indicated, the PET scan must be potentially beneficial in providing information supportive of a diagnosis or monitoring certain conditions.

Private Insurance
Most private insurance companies cover the same indications that Medicare covers, but may cover additional indications. In either case, it is prudent to check with the insurance company prior to the PET scan.

Medicare
PET scans are covered by the Centers for Medicare and Medicaid Services (CMS), Medicare, for specific clinical conditions under a National Coverage Determination (NCD).

National Oncologic PET Registry (NOPR)
The National Oncologic PET Registry (NOPR) was developed in response to the Centers for Medicare and Medicaid Services (CMS) proposal to expand coverage for FDG-PET to include cancers and indications not presently eligible for Medicare reimbursement. Medicare reimbursement for these cancers will be available if the patient's referring physician and the provider submit data to a clinical registry to assess the impact of PET on cancer patient management. The NOPR is implementing this registry for CMS.

Please contact our office with questions regarding insurance and coverage for PET scans.

NCPIC is a not-for-profit, community benefit organization committed to providing the most advanced level of PET/CT imaging services. NCPIC was established in 1992 as the first freestanding non-university PET center in the nation and continues to be a nationally known center of excellence.

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Locations:
Main Facility Midtown Sacramento
Roseville Sutter Roseville Medical Center
Carmichael Mercy San Juan Medical Center
Fairfield NorthBay Medical Center
Woodland Woodland Healthcare
Grass Valley Sierra Nevada Memorial Hospital

Hours:
Monday - Friday 7:00am - 5:00pm
(National holidays observed)

Scheduling for ALL Locations:
916-737-3211
888-PET-3211 or 888-738-3211
Fax: 916-737-6203

Downloadable Forms:
PET/CT Scan Request
Diagnostic CT Request
Medicare Brain PET Scan Request
NOPR Clinical Indicator Table
M-Care Dementia Guidelines
Patient Instructions
Why Proper Preparation is So Important
"What Should I Expect During My Scan?"
Insurance and Payer Contracts
HIPAA Notice of Privacy
Patient Consent Forms

Contact Us and Meet our Experts:
PET Physicians
Administration
Support Staff
Technologists