Our team of imaging professionals worked very hard over that past six months to get this program up and running. It involved long hours of going through the Medicare requirements to participate in this worthy screening program.
Because we have signed a participation agreement with The Centers for Medicare and Medicaid Services (CMS) and the American College of Radiology (ACR), we are bound to provide information to a national data registry that will help determine the effectiveness of low dose lung screening.
Which people are covered by Medicare for the LDCT lung cancer screening?
- Age 55–77 years
- Asymptomatic (no signs or symptoms of lung cancer)
- Tobacco smoking history of at least 30 pack-years (one pack-year = smoking one pack per day for one year; 1 pack = 20 cigarettes)
- Current smoker or one who has quit smoking within the last 15 years
- A written order for lung cancer screening with LDCT
From the medical provider, DIS will require the following information:
- Beneficiary age/date of birth
- Actual pack-year smoking history (number)
- Current smoking status, and for former smokers, the number of years since quitting smoking
- Attestation that the beneficiary is asymptomatic (no signs of symptoms of lung cancer)
- Attestation that smoking cessation has been provided.
- Attestation that shared decision making has been performed.
- National Provider Identifier (NPI) of the ordering practitioner
For the initial LDCT lung cancer screening service, a written order is required from a qualified health professional (i.e. physician, nurse practitioner or physician assistant) following a lung cancer screening counseling and with attestation to shared decision-making having taken place.
For the subsequent screening services, a written order is required which may be furnished during any appropriate visit from a qualified health professional.
The ACR Lung Cancer Screening Registry™, which is under development, was approved by CMS to enable providers to meet quality reporting requirements to receive Medicare CT lung cancer screening payment.
Other recommended criteria for LDCT screening have also been issued by the National Comprehensive Cancer Network. Click here to view the Diagnostic Imaging Services lung cancer screening patient brochure.
Low Dose CT lung cancer screenings are performed at all DIS locations. For people who do not have Medicare coverage, Diagnostic Imaging Services will perform the screening for a price of $200. A written order from a qualified health professional is still required.