EST. 1999
Screening for Lung Cancer with Low-Dose Computed Tomography
Service:
USPSTF: United States Preventative Services Task Force
USPSTF Rating:B
The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit in the past 15 years.
Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curtive lung surgery.
Procedure Code(s):
71271
Diagnosis Code(s):
F17.210, F17.211, F17.213, F17.218, F17.219, Z87.891
Codes for Reporting Purposes:
G9275, G9276
NOTE: Codes G9275 and G9276, are for reporting purposes only, if applicable. These codes are not separately reimbursable.
Preventive Benefit Instructions:
Requires on the diagnosis codes listed above.
Limitations:
Limited to one per year, and
All of the following Criteria:
Age 50 to 80 years (ends on 81stbirthday) and
At least 20 pack-years* of smoking history, and
Either a current smoker or has quit within the past 15 years
NOTE: Prior authorization requirements may apply, depending on plan
*A pack-year is a way to measure the amount a person has smoked over a long period of time. It is calculated by multiplying the number of packs of cigarettes smoked per day by the number of years the person has smoked. For example, 1 pack year is equal to smoking 1 pack per day for 1 year or 2 packs per day for half a year and so on. Source: National Institutes of Health, National Cancer Institute Dictionary of Cancer Terms, pack year definition web page.
https://www.cancer.gov/publications/dictionaries/cancer-terms/def/pack-year