Positron Emission Tomography (PET) services for credentialed medical practitioners 012-42020080
This document outlines information about Positron Emission Tomography (PET) services for eligible medical practitioners.
Eligibility for Medicare Benefits
Payment of Medicare benefits for PET services is limited to services performed by or under the personal supervision of a medical professional who is a:
- credentialed specialist' or
- medical practitioner who meets the requirements in clause 2.4.3 (1) (b) of the Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020 Diagnostic Imaging Services Table (DIST)
PET services must also be performed in a comprehensive facility using equipment that meets the Requirements for PET Accreditation (Instrumentation & Radiation Safety) 3rd Edition (2017), to be eligible for Medicare benefits.
See References for the legislation.
Access to Medicare benefits for PET services
The JNMCAC secretariat advises Services Australia when a medical practitioner’s name has been added to the Register of Nuclear Medicine and/or Positron Emission Tomography Credentialed Specialists.
Services Australia updates the medical practitioner’s provider number record and advises the medical practitioner of their credentialing status in writing. The Positron Emission Tomography Statutory Declaration form (HW064) is included with this letter.
The medical practitioner must complete this form and send to the Medicare Provider Registration team for assessment.
Note: this form and supporting documentation can be submitted via HPOS. Forms received via HPOS will have:
- all correspondence delivered via HPOS
- HPOS in their title. For example, YYYYMMDD.HPOS12345678_ WorkID.WorkType
See also Health Professional Online Services Support Mail Centre – Managing emails from health professionals.
The Resources page contains links to MBS Online, HPOS and the Positron Emission Tomography Statutory Declaration form (HW064).
Credentialing enquiries
Enquiries about:
- PET credentialing should be directed to the JNMCAC Secretariat. The Resources page contains a link to the Secretariat contact details on the Australasian Association of Nuclear Medicine Specialists website
- recording credentialing details should be directed to Local Peer Support (LPS)
- processing the statutory declaration can be emailed to the Diagnostic Imaging and Pathology team
The Resources page has links to:
- Positron Emission Tomography Statutory Declaration form (HW064)
- Medicare and Aged Care - Local Peer Support (LPS)
- Medicare Provider Registration
- Australasian Association of Nuclear Medicine Specialists
- Medicare Benefits Schedule (MBS) Online
- Health Professional Online Services (HPOS)
- Provider and Third Party Letters