PET PROS - Referring Physician Resources

Referring Physician Resources

Referring Physician Resources Referring Physician Resources

Reimbursement

Sample Physician Request Form for Oncologic PET/CT Imaging
Sample Physician Request Form for Brain PET Imaging
Payer Relations Kit
- Sample Cost Worksheet (.xls)
CMS Decision Memo for PET (FDG) for Solid Tumors (April 2009)
CMS Decision Memo for PET (FDG) for Cervical Cancer (November 2009)
CMS Decision Memo for PET (NaF-18) to Identify Bone Metastasis of Cancer (February 2010)
- Transmittal for Billing of NaF PET Bone Scans (March 2010)
CMS Decision Memo for PET for Initial Treatment Strategy in Solid Tumors and Myeloma (August 2010)
CMS Coverage Table (April 2009)
SNMMI Coding Corner (PET)
NOPR Covered Indications
Coding and Reimbursement Q&A

Tracer Encyclopedia

Elements of PET/CT Reporting

A comprehensive guide on elements of PET/CT reporting (including sample reports).

Elements of PET/CT Reporting (.pdf)

Practice Guidelines Summaries

The following summaries are intended to serve as an educational tool for referring physicians, as well as nuclear medicine physicians and radiologists. Practice guidelines are revised and updated periodically, and new guidelines are written. Readers are advised to check the websites of professional organizations as well as published literature for the most current information.

Oncology Practice Guidelines Summary from multiple organizations for major cancer Types (.pdf)
Cardiac Practice Guidelines Summary (.pdf)
Neurology Guidelines Summary - Coming Soon!

Educational Brochures

Diagnosis of Pulmonary Nodules (.pdf)
Non-small Cell Lung Cancer (.pdf)
Radiation Therapy Treatment Planning in Lung Cancer (.pdf)

PET/CT PowerPoint Library

A collection of PET/CT PowerPoint presentations. These presentations may be used in whole or in part for educational purposes only.

PET/CT PowerPoint E-Library

PET/CT NaF Bone Scan Resources

"F-18 Sodium Fluoride PET Imaging" Webinar (Free)
If you prefer to obtain continuing education credit for this webinar (for a fee), please visit www.snm.org/onlinelectures, and follow the instructions at that site.
NEW! SNMMI Guideline for Sodium 18F-Fluoride PET/CT Bone Scans
PET/CT NaF Bone Scan Starter Kit – Coming Soon!

Letters of Medical Necessity Samples

These presentations may be used in whole or in part for educational purposes only. Individuals who incorporate this information into their own presentations should attribute the source on each slide, using the following language: "courtesy of (insert name and institution) through the PET PROS program of the SNMMI PET Center of Excellence".

General Template (.docx)
Disease Specific Templates:
Alzheimer's (.doc)
Breast CT and PET-CT Denied (.doc)
CCL Transformation to Lymphoma (.doc)
Enlarged Axilary Lymph Nodes (.doc)
Head and Neck (#2) (.doc)
Head and Neck (.doc)
Liposarcoma (.doc)
Lung Mass (.doc)
Lymphoma Recurrence (.doc)
Lymphoma Staging (.doc)
Ovarian (.doc)
Pancreatic (.doc)
Pituatary Tumor (.doc)
Staging and Restaging Breast (2 studies) (.doc)

Fact Sheets for Patients

PET E-Library

The PET Center of Excellence has developed an electronic library of key literature related to PET/CT. Topics include procedure guidelines, cost-effectiveness, reporting, and more.

PET E-Library

Imaging Atlas

The PET Center of Excellence Board of Directors recommends the following dynamic imaging atlas links:

Response Criteria

The Response Criteria page includes response criteria articles, including the following:

RECIST (2009)
PERCIST (2009)
Harmonization Project I & II (2007)
EORTC (1999)

PET and PET/CT Procedure & Practice Guidelines

PET and PET/CT Procedure and Practice Guidelines for Oncology, Brain and Cardiac:

Off-the-Wall Guides

The Off the wall guides are useful charts, tables, and/or diagrams for physicians to use as references in their PET/CT reading areas:

Liver Segments
Neck Nodes
Small Lung Nodules (Fleischner Society Recommendations)

NCCN Clinical Oncology Guidelines

NCCN Guidelines™ & Clinical Resources

Check back soon for more updates!

Did you find what you need?
We welcome your feedback and suggestions for new resources to add to the PET PROS Program. Please send us an email at petpros@snm.org.

Referring Physicians Interpreting Physicians Technologists Patients SNMMI Related Sites: PET COE Homepage MI Home SNMMI Home Site brought to you by	Referring Physician Resources Referring Physician Resources Referring Physician Resources Reimbursement Sample Physician Request Form for Oncologic PET/CT Imaging Sample Physician Request Form for Brain PET Imaging Payer Relations Kit Sample Cost Worksheet (.xls) CMS Decision Memo for PET (FDG) for Solid Tumors (April 2009) CMS Decision Memo for PET (FDG) for Cervical Cancer (November 2009) CMS Decision Memo for PET (NaF-18) to Identify Bone Metastasis of Cancer (February 2010) Transmittal for Billing of NaF PET Bone Scans (March 2010) CMS Decision Memo for PET for Initial Treatment Strategy in Solid Tumors and Myeloma (August 2010) CMS Coverage Table (April 2009) SNMMI Coding Corner (PET) NOPR Covered Indications Coding and Reimbursement Q&A Tracer Encyclopedia [¹⁸F]fluorocholine (.pdf) [¹⁸F]fluorothymidine (.pdf) [¹⁸F]flurpiridaz (.pdf) [¹⁸F]-florbetapir [¹⁸F]-AV-45 (.pdf) Elements of PET/CT Reporting A comprehensive guide on elements of PET/CT reporting (including sample reports). Elements of PET/CT Reporting (.pdf) Practice Guidelines Summaries The following summaries are intended to serve as an educational tool for referring physicians, as well as nuclear medicine physicians and radiologists. Practice guidelines are revised and updated periodically, and new guidelines are written. Readers are advised to check the websites of professional organizations as well as published literature for the most current information. Oncology Practice Guidelines Summary from multiple organizations for major cancer Types (.pdf) NCCN Practice Guidelines Tabular Summary (.pdf) NCCN Practice Guidelines Narrative Summary (.pdf) NCCN Practice Guidelines: PET/CT Evidence Development (.pdf) NCCN Task Force Report: Clinical Utility of PET in a Variety of Tumor Types (.pdf) Cardiac Practice Guidelines Summary (.pdf) Neurology Guidelines Summary - Coming Soon! Educational Brochures Diagnosis of Pulmonary Nodules (.pdf) Non-small Cell Lung Cancer (.pdf) Radiation Therapy Treatment Planning in Lung Cancer (.pdf) PET/CT PowerPoint Library A collection of PET/CT PowerPoint presentations. These presentations may be used in whole or in part for educational purposes only. PET/CT PowerPoint E-Library PET/CT NaF Bone Scan Resources "F-18 Sodium Fluoride PET Imaging" Webinar (Free) If you prefer to obtain continuing education credit for this webinar (for a fee), please visit www.snm.org/onlinelectures, and follow the instructions at that site. NEW! SNMMI Guideline for Sodium 18F-Fluoride PET/CT Bone Scans PET/CT NaF Bone Scan Starter Kit – Coming Soon! Letters of Medical Necessity Samples These presentations may be used in whole or in part for educational purposes only. Individuals who incorporate this information into their own presentations should attribute the source on each slide, using the following language: "courtesy of (insert name and institution) through the PET PROS program of the SNMMI PET Center of Excellence". General Template (.docx) Disease Specific Templates: Alzheimer's (.doc) Breast CT and PET-CT Denied (.doc) CCL Transformation to Lymphoma (.doc) Enlarged Axilary Lymph Nodes (.doc) Head and Neck (#2) (.doc) Head and Neck (.doc) Liposarcoma (.doc) Lung Mass (.doc) Lymphoma Recurrence (.doc) Lymphoma Staging (.doc) Ovarian (.doc) Pancreatic (.doc) Pituatary Tumor (.doc) Staging and Restaging Breast (2 studies) (.doc) Fact Sheets for Patients PET Fact Sheet (.pdf) Nuclear Medicine Fact Sheet (.pdf) Lymphoma Fact Sheet (.pdf) Breast Cancer Fact Sheet (.pdf) Alzheimers Fact Sheet (.pdf) Prostate Cancer Fact Sheet (.pdf) Colorectal Cancer Fact Sheet (.pdf) Heart Disease Fact Sheet (.pdf) Lung Cancer Fact Sheet (.pdf) PET E-Library The PET Center of Excellence has developed an electronic library of key literature related to PET/CT. Topics include procedure guidelines, cost-effectiveness, reporting, and more. PET E-Library Imaging Atlas The PET Center of Excellence Board of Directors recommends the following dynamic imaging atlas links: www.imaios.com/en/e-Anatomy www.nlm.nih.gov/research/visible home.comcast.net/~wnor/ Response Criteria The Response Criteria page includes response criteria articles, including the following: RECIST (2009) PERCIST (2009) Harmonization Project I & II (2007) EORTC (1999) PET and PET/CT Procedure & Practice Guidelines PET and PET/CT Procedure and Practice Guidelines for Oncology, Brain and Cardiac: Sodium 18-F Fluoride with PET/CT Bone Scans 1.1 * Oncology PET/CT (ACR, 2007) Oncology PET/CT (SNM, 2006) Brain PET/CT (SNM, 2009) Myocardial Perfusion Imaging (SNM, 2008) Myocardial Perfusion Imaging and Metabolic (Viability) Imaging (ASNC, 2009) Off-the-Wall Guides The Off the wall guides are useful charts, tables, and/or diagrams for physicians to use as references in their PET/CT reading areas: Liver Segments Neck Nodes Small Lung Nodules (Fleischner Society Recommendations) NCCN Clinical Oncology Guidelines NCCN Guidelines™ & Clinical Resources Check back soon for more updates! Did you find what you need? We welcome your feedback and suggestions for new resources to add to the PET PROS Program. Please send us an email at petpros@snm.org.
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