Positron Emission Tomography (PET) Scan

TRICARE covers PET scans for the following:

  • Diagnosis and management of seizure disorders
  • Evaluation of ischemic heart disease
  • Diagnosis, staging, restaging and monitoring of treatment of pancreatic cancer
  • Staging and restaging of differentiated (follicular, papillary, Hurthle cell) thyroid cancer
  • Ruling out the recurrence of ovarian cancer
  • Staging, restaging and detection of recurrence of colorectal cancer
  • Metastatic bladder cancer
  • Diagnosis and management of lung cancer when documented by reliable evidence as safe, effective, comparable or superior to standard care
  • Diagnosis, staging, and monitoring of treatment of lymphoma
  • Diagnosis, staging, restaging, and monitoring of oncologic indications, when supported by National Comprehensive Cancer Network (NCCN) clinical practice guidelines

TRICARE doesn't cover PET scans for:

  • The initial diagnosis of differentiated thyroid cancer and for medullary cell thyroid cancer
  • Diagnosis, staging, restaging, and monitoring of treatment of gastric cancer
  • Initial diagnosis, staging, and monitoring of treatment of ovarian cancer
  • Initial diagnosis and monitoring of treatment of colorectal cancer
  • Diagnosis of renal mass or renal cell carcinoma recurrence
  • Alzheimer's disease, fronto-temporal dementia or other types of dementia
  • Ultrasound ablation (destruction of uterine fibroids) with magnetic resonance imaging in the treatment of uterine leiomyomata
Disclaimer:

This list of covered services is not all inclusive. TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded.

Last Updated 7/12/2022