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Learn about the coverage and reimbursement requirements for lung cancer screening with low-dose CT scan (LDCT) by Medicare and other payers. Find the CPT codes, ICD-10 codes, and payment rates for LDCT and counseling visit.
- 2022 ACR and Nlcrt Lung Cancer Screening Webinar Series
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- 2022 ACR and Nlcrt Lung Cancer Screening Webinar Series
The Centers for Medicare & Medicaid Services (CMS) has authorized a screening benefit for lung cancer using low dose computed tomography (LDCT) scanning. There are two CPT/HCPCS codes associated with this benefit: G0296 for the initial visit and 71271 for the scan and subsequent intervention.
There are two current codes associated with lung cancer screening: • CPT G0296: counseling visit to discuss the need for lung cancer screening using LDCT scan (service is for eligibility determination and shared decision making). This is listed as a permanent telehealth code. The code is payable in the facility and the non-facility setting.
Find the HCPCS and ICD-10 codes for lung cancer screening with low-dose CT (LDCT) and patient eligibility. Learn how to bill and document LDCT for Medicare and commercial payers.
The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer. For clinical responsibility, terminology, tips and additional info. start codify free trial.
The LDCT (low-dose chest CT) technique is required for lung cancer screening. Interval CT. Short interval chest CT or CTA performed “off-cycle” between annual screening exams for diagnostic purposes. In most cases, performed with LDCT technique. Surveillance CT.
Two new billing codes were introduced for the counseling and shared decision-making visit and subsequent LDCT scan. In this review, we summarize the evidence around lung cancer screening and describe practical aspects of the counseling and shared decision-making, including billing considerations.