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Ordering a Screening Scan

CMS has specific codes that MUST be used when ordering a Baseline or Annual Lung Cancer Screening Scan in order to ensure proper insurance reimbursement.

CPT: 71271 (Low-dose CT Scan of the lungs for Lung Cancer Screening).
*NOTE* This code can ONLY be used once every 12 months

CMS requires that one of the following diagnosis codes be on the order as the primary diagnosis.

Z87.891: Personal history of nicotine dependence

F17.20: Smoker

Z12.2: Screening for malignant neoplasm of respiratory organs

Referral to Lung Cancer Screening Program (LCSP):