Is my PSMA PET Scan covered by insurance?
As of January 1, 2022, CMS provided PSMA PET Scan (PSMA) with a dedicated billing code, which in turn facilitated Medicare creating a consistent reimbursement schedule, making PSMA PET Scan reimbursable. Other major third-party insurance companies, who tend to follow Medicare, have also added PSMA to their formulary. However, determination of insurance coverage is specific to your individual history, needs, coverage, and insurance plan.
Contact us at our PSMA Fax Hotline: (954) 607-6757 or email to: psma@piisf.com for further details.