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On February 5, 2015, the Centers for Medicare and Medicaid Services (Medicare) issued its final decision about coverage of low-dose CT (LDCT) lung cancer screening. Coverage began immediately.
Below are some of the frequently asked questions about Medicare coverage for lung cancer screening:
Medicare has decided that there is sufficient evidence to cover annual low-dose CT lung cancer screening coverage among Medicare beneficiaries considered high risk.
Physicians must provide a written order for screening to Medicare after having a lung cancer screening counseling and a shared-decision making discussion with the patient. This visit includes:
Medicare wants to make sure qualified, experienced radiologists are serving Medicare patients. As a result, Medicare requires that any radiologist involved with lung cancer screening for Medicare patients:
To be an eligible screening facility, a site must:
This coverage began on Feb. 6, 2015.
On Dec. 30, 2010, the U.S. Preventive Services Task Force (USPSTF) issued a new 'B' recommendation for lung cancer screenings for those at high risk. The USPSTF recommendation makes lung cancer screening with these same low-dose CT scans required coverage in many private or employer-sponsored health insurance plans starting in 2015. High-risk patients who do not have Medicare should check with their health insurance plan to see whether screening for lung cancer is covered.
Download FAQs about Medicare coverage for lung cancer screening. Download PDF
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