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s disease, which have a limited ability to decrease the rate of cognitive decline when administered early in the course of the disease.  CMS coverage determination was primarily based on the value of PET in providing information useful in “non-medical decision-making.”  Aetna, however, does not consider non-medical decision-making a medically necessary indication for testing.  Because of a lack of adequate evidence that PET scanning alters clinical management of such persons such that clinical outcomes are improved, Aetna considers PET scanning for differentiating Alzheimer disease from fronto-temporal dementia experimental and investigational.

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