Help: FAQs, tutorials, videos, page index and more
Viewing:  Sep 21, 2019

Preventive Services: Lung Cancer Counseling and Annual Screening for Lung Cancer With LDCT

By:  Find-A-Code
Published:  September 1st, 2017

The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Lung Cancer Screening Counseling, and Annual Screening for Lung Cancer With Low Dose Computed Tomography (LDCT): 

HCPCS/CPT Codes

G0296 - Counseling visit to discuss need for lung cancer screening (LDCT) using low dose CT scan (service is for eligibility determination and shared decision making)
G0297 - Low dose CT scan (LDCT) for lung cancer screening

ICD-10 Codes

F17.210, F17.211, F17.213, F17.218, F17.219, Z87.891

Who Is Covered

Medicare beneficiaries who meet all of the following categories:

  • Aged 55 through 77
  • Asymptomatic (no signs or symptoms of lung cancer)
  • Tobacco smoking history of at least 30 pack-years (one pack-year = smoking one pack per day for one year; 1 pack = 20 cigarettes)
  • Current smoker or one who has quit smoking within the last 15 years
  • Receive a written order for lung cancer screening with LDCT

Frequency

Annually for covered Medicare beneficiaries

  • First year: Before the first lung cancer LDCT screening, Medicare beneficiaries must receive a counseling and shared decision making visit
  • Subsequent years: The Medicare beneficiary must receive a written order furnished during any appropriate visit with a physician or NPP

Medicare Beneficiary Pays

  • Copayment/coinsurance waived
  • Deductible waived

 Other Notes


Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.

Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.


References:

###

Article Tags  (click on a tag to see related articles)



Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


Our contact information

Find A Code, LLC
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Fax: 801-770-4428
Email:
Free 14 Day Trial
No Credit Card Required
Pricing
Starting at $10/month
Sign In
Welcome back!