To be eligible for Medicare reimbursement the referral must be from a medical specialist and meet the criteria listed in the Medicare benefits schedule.
The full list of Medicare reimbursable indications is listed on the MTIC referral form and the referring clinic should specify which these indications is applicable. If the indication for the PET scan does not meet any of these criteria there may be an out-of-pocket cost for the PET scan.  This should be discussed with the patient prior to referring them to MTIC for the scan.