Question: Washington Subscriber Answer: NCD update: Medicare will cover one FDG PET for cervical cancer. That one exam must meet specific requirements: • The exam must be for staging (not initial diagnosis). • The patient must have biopsy proven cervical cancer. • The treating physician must need the study to determine the tumor's location, extent, or both for one of the following therapeutic purposes related to initial treatment strategy: • To determine whether the beneficiary is a candidate for an invasive diagnostic or therapeutic procedure • To determine the optimal anatomic location for an invasive procedure • To determine the tumor's anatomic extent when the recommended anti-tumor treatment depends on that information. Codes: • An appropriate CPT code from 78608 (Brain imaging, positron emission tomography [PET]; metabolic evaluation), 78811-78813 (Positron emission tomography [PET] imaging ...), or 78814-78816 (Positron emission tomography (PET) with concurrently acquired computed tomography [CT] for attenuation correction and anatomical localization imaging ...) • Modifier PI (PET Tumor initial treatment strategy) • A cervical cancer diagnosis code (such as 180.x, Malignant neoplasm of cervix uteri). Action step: Resources: