The Affordable Care Act (ACA) requires that private insurers cover medical exams (including CT lung cancer screening) from the USPSTF without a co-pay. Imaging Healthcare Specialists is proud to be an ACR Designated CT Lung Cancer Screening Center and is required to obtain specific information for your patient prior to scheduling. We Thank You in advance for completing this important patient health history information so we may ensure your patients exam is covered under their current insurance plan.
The Centers for Medicare & Medicaid Services (CMS) has determined that the evidence is sufficient to add a lung cancer screening counseling and shared decision making visit, and for appropriate beneficiaries, annual screening for lung cancer with low dose computed tomography (LDCT), as an additional preventive service benefit under the Medicare program only if all required criteria are met.
Written orders for both initial and subsequent LDCT lung cancer screenings must contain the following REQUIRED information, including the physician/provider Statement (below) that the patient/beneficiary is asymptomatic (has no signs or symptoms of lung cancer); which must also be appropriately documented in the beneficiary’s medical records.
Criteria Required for Low Dose Lung Screening:
|
Pack Year Examples: |