Medicare Coverage of Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)

Medicare covers lung cancer screening with Low Dose Computed Tomography (LDCT) if all eligibility requirements listed in the National Coverage Determination (NCD) are met. Section 1861(ddd)(1) of the Social Security Act (the Act) authorizes CMS to add coverage of “additional preventive services” through the NCD process. CMS reviewed the evidence for lung cancer screening with low dose computed tomography (LDCT) and determined that the criteria had been met, enabling CMS to cover this “additional preventive service” under Medicare Part B. HCPCS code G0297 – Low dose CT scan (LDCT) for lung cancer screening should be used to report the service along with ICD-10 diagnosis code Z87.891 (personal history of tobacco use/personal history of nicotine dependence).

Source: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9246.pdf