Humana will no longer deny coverage of PET/CT imaging procedures for cardiac and some neurological conditions, according to a June 21 news release from the Society of Nuclear Medicine and Molecular Imaging.
The SNMMI said it had been in communication with Humana since November 2020 regarding its denial of coverage of PET/CT and SPECT/CT procedures.
According to the statement, Humana would not provide coverage because the procedures were "experimental/investigational" and "not identified as widely used and generally accepted for the proposed uses as reported in nationally recognized peer-reviewed medical literature."
The payer also reversed its decision to deny coverage of the imaging procedures when used to identify gastric and esophageal oncologic indications earlier this year.