Updated Requirements for Lung Cancer Screening With Low-Dose CT

Contrary to what an article stated in the December 2014 Medi-Cal Update, claims for HCPCS code S8032 (low-dose CT lung screening) will be reimbursed “By Report” only, and do not require an invoice. In addition, the required report must document one or more of the following criteria to justify the need for the use of low-dose computed tomography (CT):

·         Current or former smokers, 55 to 74 years of age

·         A smoking history of at least 30 pack-years (a pack-year is the calculated equivalent of smoking 20 cigarettes every day for one year)

·         No history of lung cancer