Positron emission tomography (PET) scans for lymphoma

PET may be used as an imaging tool for staging of lymphoma after histological diagnosis, for interim evaluation, and for end‐of-treatment assessment.

Coverage decision: Covered with conditions (Effective: April 1, 2019).

Authorization requirements


Is authorization required?

How do I get pre-authorization?

Yes

L&I (State fund): request Utilization Review provided by Comagine

For self-insured: Contact the employer or its third party administrator

 

Regulatory authority and related information

 

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