Wiki Medicare low dose lung CT screening

[Cindy01]

Do I need two codes when billing Medicare for low dose lung screening CT? Is Z87.91 only for people that no longer smoke?

 

[sls314]

Do I need two codes when billing Medicare for low dose lung screening CT? Is Z87.91 only for people that no longer smoke?

Z87.891 is personal history of nicotine dependence. You would not use the personal history diagnosis if the patient is a current smoker. (Z87.891 has an Excludes1 note for current nicotine dependence F17.2-F17.299.)

This MLN from CMS lists the ICD-10 codes and other coverage criteria for the LDCT: https://www.cms.gov/medicare/preven...vices/mps-quickreferencechart-1.html#LUNG_CAN

Before the patient's first lung cancer screening, you also have to counsel the patient at a shared decision-making visit. You can find the G0296 code for that at the MLN link above as well.