Provider Information

CT Chest Low Dose Lung Screening - written orders for both initial and subsequent LDCT lung cancer screenings must contain the following information, which must also be appropriately documented in the beneficiary’s medical records: (this is for those with Medicare)

Shared Decision Making Tools

  • Beneficiary date of birth;
  • Actual pack - year smoking history (e.g. number written as 30 Pack Years or 30 PY);
  • Current smoking status, and for former smokers, the number of years since quitting smoking;
  • Statement that the beneficiary is asymptomatic (no signs or symptoms of lung cancer); and
  • National Provider Identifier (NPI) of the ordering practitioner.

Website for CMS requirements

Forms