AMA Clinical Examples in Radiology - 2016 Bulletin 1
Coding Revisions Affect Lung Cancer Screening and Radiation Therapy Billing
Coding Revisions Affect Lung Cancer Screening and Radiation Therapy Billing Medical imaging billing personnel should make note of actions by the Centers for Medicare and Medicaid Services (CMS) and National Correct Coding Initiative (NCCI) that affect how they should bill Medicare for lung cancer screenings of current smokers, three-di-mensional radiation therapy planning, and basic dosimetry calculations. LOW-DOSE COMPUTED TOMOGRAPHY FOR LUNG CANCER SCREENING As covered in the March 2, 2016, American College of Radiology (ACR) eNews, Coding Policies Clarified for Lung Cancer Screening of Current Smokers ( www.acr.org/News-Publications/News/News-Articles/2016/Economics/20160302-CMS-Clarifies-Coding-Instructions-for-Lung-Cancer-Screening-of-Current%20Smokers ), CMS has modified its approved list of Inter-national...
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Article Overview
This article reviews coding and coverage changes issued by CMS and NCCI that affect Medicare billing for low-dose CT lung cancer screening and certain radiation therapy planning and dosimetry services. It is intended for imaging and radiation therapy billing staff, coders, and reimbursement professionals who need a high-level view of the policy areas and code sets involved without the full premium guidance.
Why This Topic Matters
These updates can affect whether claims are recognized under Medicare coverage policy and how billing teams align documentation and diagnosis coding with current guidance. The article helps readers identify which policy changes and diagnosis code groups are being addressed so they can determine whether the full guidance is relevant to their workflow.
Article Sections
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Low-Dose Computed Tomography for Lung Cancer Screening
This section discusses Medicare coverage-related updates for lung cancer screening and notes the timing of the policy change. It also identifies the diagnostic code group referenced in connection with screening claims.
What You Will Learn
- Which Medicare policy areas are affected by the article
- What broad categories of billing updates are discussed
- Which diagnosis code group is referenced for lung cancer screening coverage
- Which organizations are cited in connection with the update
- What kinds of coding and billing topics the article covers
Who Should Read This
- Medical imaging billing personnel
- Radiology coders
- Radiation therapy billing staff
- Revenue cycle professionals
- Compliance and reimbursement teams
Codes Discussed
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