New Coverage for Low-Dose Lung Cancer Screening

Effective July 1, 2019, providers may request, perform and bill for low-dose lung cancer screening utilizing healthcare common procedure coding system (HCPCS) code G0297 (low-dose CT scan [LDCT] for lung cancer screening). This service was previously requested and performed under current procedural terminology (CPT) code 71250 (computed tomography, thorax; without contrast material). Prior approval is dependent on the beneficiary’s eligibility at the time of service. Please refer to clinical coverage policy 1K-7, (which can be accessed at: https://medicaid.ncdhhs.gov/providers/clinical-coverage-policies/radiology-clinical-coverage-policies) prior approval for imaging services, for information regarding PA requirements. G0297 will also be available to perform and bill in the IDTF setting.