Reporting Computed Tomography of the Thorax (February 2021)

February 2021 pages 9-10 Reporting Computed Tomography of the Thorax A new code (71271) was established to report low-dose computed tomography (CT) for lung cancer screening for the Current Procedural Terminology (CPT®) 2021 code set. Codes 71250, 71260, and 71270 were editorially revised by adding “diagnostic” to the code descriptors to clarify that these codes are reported for diagnostic CT and to distinguish them from the new screening code 71271. Note that new code 71271 corresponds to the Healthcare Common Procedure Coding System (HCPCS) Level II code G0297, Low dose CT scan (LDCT) for lung cancer screening. This...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This February 2021 CPT Assistant article reviews reporting guidance for computed tomography of the thorax. It covers the addition of a new low-dose lung cancer screening code, related revisions to diagnostic chest CT code descriptors, and clinical examples with procedure descriptions for common thoracic CT scenarios. The article is useful for coders, radiology practices, and compliance staff who need to distinguish screening from diagnostic thoracic CT reporting and understand the related CPT and HCPCS Level II references.

Why This Topic Matters

Thoracic CT coding is frequently affected by distinctions between screening and diagnostic services, contrast use, and related imaging guidance. This article helps readers understand the scope of the updated CPT content and the surrounding coding references that affect accurate radiology reporting.

Article Sections

  1. Reporting Computed Tomography of the Thorax

    Overview of the February 2021 CPT article and the topic of thoracic CT reporting updates. Introduces the relationship between new and revised code content.

  2. Chest

    Thoracic CT code references and general reporting context for chest imaging. Includes the article’s broad discussion of diagnostic and screening CT of the thorax.

  3. Clinical Example (71250) / Description of Procedure (71250)

    A clinical scenario and procedural narrative associated with the thoracic CT code referenced in this section. Covers the type of imaging work typically described for that scenario.

  4. Clinical Example (71260) / Description of Procedure (71260)

    A clinical scenario and procedural narrative associated with the contrast-enhanced thoracic CT code referenced in this section. Includes discussion of imaging workflow and related interpretation elements.

  5. Clinical Example (71270) / Description of Procedure (71270)

    A clinical scenario and procedural narrative associated with the thoracic CT code involving pre- and post-contrast imaging. Presents the type of procedure detail used in the article.

  6. Clinical Example (71271) / Description of Procedure (71271)

    A clinical scenario and procedural narrative associated with the low-dose lung cancer screening thoracic CT code. Includes screening-oriented imaging and reporting context.

What You Will Learn

  • How the article frames February 2021 thoracic CT reporting updates
  • Which broad thoracic CT services are discussed in relation to diagnostic and screening imaging
  • What kinds of clinical examples and procedure narratives are included
  • How the article relates CPT and HCPCS Level II references in the thorax imaging context
  • What topics are emphasized for radiology coding and documentation review

Who Should Read This

  • Radiology coders
  • CPT and reimbursement specialists
  • Radiology practices
  • Compliance staff
  • Medical billing professionals

Codes Discussed

Code Ranges Discussed


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