AMA Clinical Examples in Radiology - 2018 Issue 1 (Winter)
Low-Dose Computed Tomography (LDCT) Lung Screening
RADIOLOGY TEST CASE ANSWER Low-Dose Computed Tomography (LDCT) Lung Screening HOW TO CODE G0297 Low-Dose CT scan (LDCT) for lung cancer screening Z87.891 Personal history of nicotine dependence R91.8 Other nonspecific abnormal finding of lung field DISCUSSION Advances in science and technology have resulted in more effective early lung cancer screening. In the National Lung Screening Trial, it was found that appropriately selected patients who receive annual CT screens had a 20% lower lung cancer mortality rate compared to individuals who were screened using standard radiography. The American College of Radiology (ACR) Lung Imaging Reporting and Data...
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Article Overview
This article explains the coding and coverage framework for low-dose CT lung cancer screening. It is aimed at radiology coders, billing staff, and other professionals who need to understand the relevant screening service, associated diagnosis code categories, Medicare policy references, and the Lung-RADS reporting context.
Why This Topic Matters
LDCT lung screening is a preventive radiology service with specific coding, coverage, and documentation requirements. Understanding the article helps users determine whether a case supports the screening service and how related findings and follow-up context are discussed.
Article Sections
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How to Code
Introduces the primary screening service and related diagnosis categories referenced in the article.
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Discussion
Covers lung screening background, Lung-RADS reporting context, Medicare coverage references, and related policy and documentation considerations.
What You Will Learn
- The general coding and coverage framework for LDCT lung screening
- How Lung-RADS is discussed in relation to screening and follow-up
- Which diagnosis code categories are referenced in the screening context
- What Medicare policy and documentation topics are addressed
- Which organizations and guideline sources are cited
Who Should Read This
- Radiology coders
- Medical billing staff
- Compliance personnel
- Revenue cycle staff
- Health information management professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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