Low-dose computed tomography (LDCT) scans are an imaging test that uses X-rays to create detailed pictures of the inside of the body. LDCT scans are often used to screen for lung cancer in people who are at high risk for the disease.
The Current Procedural Terminology (CPT) code for a low-dose CT scan for lung cancer screening is 71271. This code is used to report the scan itself without contrast material.
Eligibility for Low-Dose CT Scan Lung Cancer Screening
The United States Preventive Services Task Force (USPSTF) recommends annual LDCT scans for lung cancer screening in people who meet the following criteria:
- Age 50 to 80
- Current smoker or have quit smoking within the past 15 years
- Have a pack-year history of smoking of 20 or more (a pack-year is defined as smoking one pack of cigarettes per day for one year)
How to Get a Low-Dose CT Scan for Lung Cancer Screening
If you meet the eligibility criteria for low-dose CT scan lung cancer screening, you should talk to your doctor about getting a scan. Your doctor can help you determine if LDCT scan screening is right for you and can refer you to a facility where you can get a scan.
How is a Low-Dose CT Scan Performed?
A low-dose CT scan is a painless and non-invasive procedure. You will lie on a table while the CT scanner takes pictures of your chest. The entire procedure takes about 10 minutes.
What to Expect After a Low-Dose CT Scan
After your low-dose CT scan, your doctor will review the images with you. If the images show any abnormalities, your doctor may order additional tests to determine the cause.
Billing and Coding for Low-Dose CT Scan Lung Cancer Screening
The cost of a low-dose CT scan for lung cancer screening will vary depending on your insurance coverage and where you get the scan. However, many insurance plans cover LDCT scan screening for people who meet the USPSTF eligibility criteria.
If you have Medicare, you are eligible for one free low-dose CT scan for lung cancer screening per year.
10 Most Asked FAQs About Low-Dose CT Scan CPT Code
Q1. What is the CPT code for a low-dose CT scan for lung cancer screening?
A. CPT code for a low-dose CT scan for lung cancer screening is 71271.
Q2. What is the difference between a low-dose CT scan and a regular CT scan?
A. A low-dose CT scan uses less radiation than a regular CT scan. This makes it a safer option for people who need to have frequent scans.
Q3. How often should I have a low-dose CT scan for lung cancer screening?
A. USPSTF recommends annual low-dose CT scans for lung cancer screening in people who meet the eligibility criteria.
Q4. Does insurance cover low-dose CT scan lung cancer screening?
A. Many insurance plans cover LDCT scan screening for people who meet the USPSTF eligibility criteria. However, you should check with your insurance company to confirm your coverage.
Q5. How much does a low-dose CT scan cost?
A. The cost of a low-dose CT scan will vary depending on your insurance coverage and where you get the scan. However, many insurance plans cover LDCT scan screening at little or no cost to the patient.
Q6. Do I need to get a referral for a low-dose CT scan?
A. Some insurance plans may require a referral for a low-dose CT scan. You should check with your insurance company to confirm their requirements.
Q7. What are the risks of a low-dose CT scan?
A. The risks of a low-dose CT scan are very low. However, there is a small risk of radiation exposure.
Q8. What are the benefits of a low-dose CT scan for lung cancer screening?
A. Low-dose CT scan lung cancer screening can help to detect lung cancer early, when it is most treatable.
Q9. What happens if my low-dose CT scan shows an abnormality?
A. If your low-dose CT scan shows an abnormality, your doctor may order additional tests to determine the cause. If lung cancer is diagnosed, your doctor will develop a treatment plan for you.
Q10. Where can I get a low-dose CT scan for lung cancer screening?
A. Low-dose CT scans for lung cancer screening are available at many hospitals and imaging centers. You can talk to your doctor to find a facility that offers LD