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To read the Advanced Accelerator Applications press release about the Transitional Pass-Through Status, click here. While it does not guarantee that individual patients will get insurance coverage, this is a very positive step for getting more institutions to offer the Gallium-68 scan.
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What this means is that the different institutions doing the Gallium-68 scan utilizing NETSPOT® now have a reimbursement code to submit to Medicare/Medicaid and private payors. The Centers for Medicare & Medicaid Services (CMS) granted NETSPOT® Transitional Pass-Through Status under an “A-code” (A9587) for drug reimbursement, effective January 1, 2017. Check with your insurance company to determine if the scan will be covered.Obtain a referral (if needed) to the institution offering the scan.Discuss this imaging test with your physician.If you know of other institutions that offer the scan, please contact the Carcinoid Cancer Foundation by phone at 88, Eastern Time, or by email at and share the name of the institution, city, state, and phone number for more information about the scan.īefore scheduling a Gallium-68 scan you should: We will be adding to the list on a monthly basis based on feedback from the NET community. For further information, please contact the PET/CT department or the Nuclear Medicine department at the institution. Most of these in the United States will be the scan using NETSPOT® others will be scans that are in clinical trial. Locations of the Gallium-68 PET/CT scan have been submitted, in part, in response to a post on the Carcinoid Cancer Foundation’s Facebook page inquiring where people have had the scan around the world. PLEASE SCROLL DOWN FOR A STATE-BY STATE LIST OF WHERE THE SCAN IS OFFERED The US Food and Drug Administration’s (FDA) Japproval of the Gallium-68 PET/CT DOTATATE scan using NETSPOT® heralded a new age of nuclear imaging for neuroendocrine tumors in the United States. InterScience Institute Neuroendocrine Tumors Handbook.
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Medical Opinion: When to Start and How to Treat Metastatic Carcinoid.
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Medical Opinion: Diagnosis and Treatment.Resources for Carcinoid and NET Cancer Insurance Appeals.Nutritional Concerns For The Carcinoid Patient.

Nutrition and Diet for Carcinoid Patients.The results of all three studies confirmed the usefulness of Ga 68 dotatate images in finding the location of the neuroendocrine tumors. The first compared Ga 68 dotatate images of NETs to images obtained with an approved drug, and then confirmed with computed tomography (CT) and/ or magnetic resonance imaging (MRI) the second evaluated Ga 68 dotatate images using histopathology (the study of tissue changes caused by disease), or clinical follow up as reference standards and the third evaluated patients with NET recurrence using Ga 68 dotatate images. Three studies established the safety and effectiveness of Netspot. This radioactive probe will help locate tumors in adult and pediatric patients with the rare condition, somatostatin receptor positive neuroendocrine tumors (NETs). The FDA has approved Netspot, the first kit for the preparation of gallium Ga 68 dotatate injection, a radioactive diagnostic agent for positron emission tomography (PET) imaging, from Advanced Accelerator Applications.
