Upcoming Freeze on Claims for FDG PET for Solid Tumors

October 6, 2014

On September 25, 2014, CMS released an issue of the Medicare Learning Network Provider eNews, which announced a temporary processing freeze on claims submitted for FDG PET for Solid Tumors between October 6 and November 10. Specifically, these are claims containing Healthcare Common procedure Coding System (HCPCS) A9552 for all oncologic conditions. This freeze comes as CMS begins to update and test its claims processing systems. This freeze is necessary so that CMS can implement the PET claims edits that it announced last spring.

Please visit CMS's website for more information regarding this claim freeze and Transmittal 2932.