Recently a member of a Support Group in Northern California shared this information he got from UC San Francisco about getting access to a Ga68 PSMA PET there.
"In order to be scheduled for a Ga68 PSMA PET scan at UCSF, we would need an order from your physician to be faxed to UCSF Radiology Scheduling at 415-353-7299. The order should state the scan they are ordering (PSMA PETCT or PSMA PETMR) as well as a diagnosis. We would also need recent prior imaging reports, a recent progress note, PSA lab values, and a completed form (attached – Q1) to confirm that you meet the inclusion criteria. I’ve attached an order/referral form that your doctor can use. We would also need you to get a PSA within 30 days of your scan appointment, depending on when it gets scheduled.
Once Radiology Scheduling has received the order, you may call 415-353-2573 to schedule your appointment. As discussed, the way this trial is run is that insurance is billed for the radio tracer and imaging component of the study.
For non-UCSF patients, the referring physician’s office is responsible for obtaining insurance pre-authorization.
Please find the CPT codes that we use for billing below:
PSMA PETCT: PSMA PETCT – 78815, Ga68 PSMA – A4641
PSMA PETMR: PSMA PETMR – 78812, MR PELVIS – 72197, Ga68 PSMA – A4641
If there are other questions regarding Billing, patients can contact our Radiology Billing office at 415-514-8888.