SPECT is considered for payment to demonstrate myocardial viability.
SPECT is not considered for payment in:
· Bone and joints – to differentiate between infectious, neo-plastic, avascular and traumatic processes
· Brain tumors-to differentiate between lymphomas from infections such as toxoplasmosis, particularly in the immunosuppressed patient
Hepatic hemangioma uses red cells marked to define lesions identified by other means
· Location of abscesses / infections / inflammation in soft tissues or in cases of fever of unknown origin
· Neuroendocrine tumors (eg adenomas, carcinoid, pheochromocytomas, tumors secreting intestinal vasoactive peptides (VIP), thyroid carcinoma, adrenal tumors.
· Location of parathyroid
SPECT is not considered for payment for any other indication, including but not limited to the following:
· Attention deficit hyperactivity disorder
· Chronic fatigue syndrome
· Colorectal carcinoma
· Sweep in the transport of dopamine- all indications
· Malignities except those listed above
· Neuropsychiatric disorders without evidence of cerebrovascular disease
· Pervasive developmental disorders
· Prostate carcinoma
· scintimamography for breast cancer
