Positron Emission Tomography (PET) Scan for Inflammation and Infection
J15 · Effective Aug 13, 2023
5 active Medicare policies list 78609, and 17 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J15 · Effective Aug 13, 2023
National · Effective Aug 6, 2026
JL · Effective Oct 13, 2023
J9 · Effective Oct 13, 2023
National · Effective Jan 22, 2026
17 policies from 10 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 78609 |
|---|---|---|
| Imaging of the Brain | Sep 19, 2026 | Covered |
| Imaging of the Brain [for Wellpoint Massachusetts] | Nov 15, 2025 | Covered |
| Oncologic Imaging | Apr 4, 2026 | Covered |
| Oncologic Imaging [for Amerigroup Georgia Medicaid] | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 78609 |
|---|
| Aetna Cardiology and Radiology Code List | Jan 1, 2026 | Prior auth required |
|---|---|---|
| Huntington's Disease | Sep 12, 2023 | Covered |
| Positron Emission Tomography (PET) | Sep 21, 2023 | Covered |
| Policy | Effective | Status of 78609 |
|---|---|---|
| Cigna Commercial Radiology Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 78609 |
|---|---|---|
| Cigna Commercial & Medicare Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Cigna OBM Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78609 |
|---|---|---|
| Attention Deficit Hyperactivity Disorder Assessment and Treatment | Not recorded | Covered |
| Policy | Effective | Status of 78609 |
|---|---|---|
| GHI/Emblem Non-City of New York & Medicare Radiology and Cardiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78609 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78609 |
|---|---|---|
| Health Alliance Plan Radiology Code List | Aug 1, 2026 | Prior auth required |
| Policy | Effective | Status of 78609 |
|---|---|---|
| Health Partners Plans Cardiology, Radiology, and Ultrasound Code List | Jul 1, 2025 | Prior auth required |
| Policy | Effective | Status of 78609 |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |