Medicare to Cover PET Scans in Cases Where Dementia Diagnosis Is Unclear

By Wachter, Kerri | Clinical Psychiatry News, April 2005 | Go to article overview

Medicare to Cover PET Scans in Cases Where Dementia Diagnosis Is Unclear


Wachter, Kerri, Clinical Psychiatry News


Medicare is extending coverage of PET scans to include patients who meet the criteria for both frontotemporal dementia and Alzheimer's disease but for whom the diagnosis remains unclear.

The Centers for Medicare and Medicaid Services concluded in September that [.sup.18]fluorodeoxyglucose PET (FDG-PET) imaging can be useful in patients with a documented cognitive decline of at least 6 months and a recently established diagnosis of dementia.

To be eligible for the new coverage, these patients must meet criteria for both frontotemporal dementia (FTD) and Alzheimer's disease (AD), but have an unclear diagnosis even after extensive clinical evaluation and alternative imaging (MRI and CT).

The specific conditions required to receive PET scan coverage to distinguish FTD and AD include:

* The onset, clinical presentation, or course of impairment is atypical for AD, and FTD is suspected as an alternative neurodegenerative cause.

* The patient has had a comprehensive clinical evaluation--as defined by the American Academy of Neurology--encompassing a medical history from both the patient and a well-acquainted informant, a physical and mental status examination aided by cognitive scales or neuropsychological testing, laboratory tests, and structural imaging.

* The patient has been evaluated by a physician experienced in the diagnosis and assessment of dementia.

* The evaluation did not identify a likely, specific neurodegenerative disease that is causing the clinical symptoms.

It's estimated that 12%-16% of patients with degenerative dementia may have FTD, which is often misdiagnosed as AD. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Medicare to Cover PET Scans in Cases Where Dementia Diagnosis Is Unclear
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.