medicare 4 everyone low dose ct lung cancer

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

It is an exciting time in Medicare’s history… Medicare Approves Coverage! The Centers for Medicare & Medicaid Services (CMS) has completed their investigation and have approved an immediate national coverage for Medicare patients. This type of coverage provides Screening for Lung Cancer with Low Dose Computed Tomography (LDCT). “This is the first time that Medicare has covered lung cancer screening. This is an important new Medicare preventive benefit since lung cancer is the third most common cancer and the leading cause of cancer deaths in the United States,” said Dr. Patrick Conway, chief medical officer and deputy administrator for innovation and quality for CMS.

The approved coverage will provide coverage for annual lung cancer screening with LDCT for all Medicare beneficiaries who meet all of the below criteria:

  • Ages 55-77
  • Have no signs or symptoms of lung cancer
  • Have a history of smoking for at least 30 pack-years (one pack of 20 cigarettes per day for 30+ years)
  • Be a current smoker or have quit smoking within the last 15 years
  • A written order from a physician or qualified non-physician meeting the above criteria

Amazing Update: Medicare Approves Coverage for Lung Cancer Screening!

This type of coverage also includes a visit to receive counseling and education about the risks and benefits of lung cancer screenings. The National Coverage Determinations (NCD) also provides specific coverage eligibility standards and important data collection for radiology imaging centers as well as radiologists which is consistent with the U.S. Preventive Services Task Force recommendation, National Lung Screening Trial protocol, and the multi-society multi-disciplinary stakeholder evidence-based guidelines.

LDCT Decision Memo Posted

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