Anthem Blue Cross Connecticut Commercial Clinical Policy

RAD.00061 PET/MRI Form

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Procedure is not covered

Effective Date

09/27/2023

Last Reviewed

08/10/2023

Original Document

Reference

This document addresses combination positron emission tomography/magnetic resonance imaging (PET/MRI) technology with dedicated scanners, such as the Biograph^™ mMR System (Siemens Medical Solutions U.S.A., Inc., Malvern, PA). The Biograph mMR System is a combined Magnetic Resonance Diagnostic Device (MRDD) and Positron Emission Tomography (PET) scanner that provides a combined approach to imaging anatomical, functional and biochemical characteristics of disease.

Position Statement

Investigational and Not Medically Necessary:

The use of combined PET/MRI imaging technology is considered investigational and not medically necessary for all indications.

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RAD.00061 PET/MRI Form

Procedure is not covered

Position Statement

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GenHealth is the best way to run RCM including eligibility, prior auth, billing, and denials with AI that works like a teammate in your EMR and billing systems.

RAD.00061 PET/MRI Form

Procedure is not covered

Position Statement

Walk through this policy with us

Choose how you'd like to learn more.

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