Is CPT code 71250 the same as G0297?

A new code was developed for lung cancer screening to replace G0297. The existing codes for CT of the thorax (71250-71270) have been revised as “diagnostic” and should not be used for lung cancer screening.

Does Medicare cover 71250?

ACR is lobbying CMS to continue to pay for lung cancer screening chest CT with CPT® code 71250 (CT thorax without contrast material); Medicare pays around $126-178 for this code currently.

What is the CPT code for CT chest high resolution?

 High resolution CT Chest should be reported only with an appropriate code from the set CPT® 71250-CPT® 71270.

What is the CPT code for CT abdomen and pelvis without contrast?

74178, Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions. Report 74176 when both studies (abdomen and pelvis) are performed without contrast.

How much does a lung CT scan cost?

The test is expensive. A spiral CT scan costs $300 or more. Insurance usually pays for the test for lung cancer screening only if you have a very high risk for developing lung cancer. And the test often leads to other costs. Many people have false alarms that lead to more tests and procedures.

What is the difference between a CT scan and a high resolution CT scan?

A CT scan of the chest uses X-rays to obtain images of the lung tissue. The images are obtained in “slices” or thin views that are put together to form a picture. The slices of an HRCT are much thinner than with a standard CT scan giving a more detailed picture.

What is the CPT code for ultrasound abdomen and pelvis?

This “limited” CPT® code covers a focused examination in the assessment of 1 or more elements listed in the “complete” pelvic ultrasound CPT® code 76856.

Is G0297 still valid?

This is a reminder that HCPCS code G0297 (Low dose CT scan [LDCT] for Lung Cancer Screening) is no longer a valid code and will no longer be accepted by the HETS 270/271 Medicare eligibility system after January 31, 2021.