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Z12.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Encntr screen for malignant neoplasm of respiratory organs; The 2025 edition of ICD-10-CM Z12.2 became effective on October 1, 2024.
Lung Cancer Screening Coding Information. G0296 — Counseling visit to discuss need for lung cancer screening (LDCT) using low-dose CT scan (service is for eligibility determination and shared decision making), and, is listed as a permanent telehealth code. The code is payable in the facility and the non-facility setting.
G0297. Lung cancer screening with low-dose CT (LDCT) CODES TO DOCUMENT PATIENT ELIGIBILITY* *These are the ICD-10 codes required by CMS for Medicare beneficiaries. Some commercial payer coding requirements to document patient eligibility may differ. QUESTIONS? Contact the GO2 Foundation for Lung Cancer at screening@go2foundation.org.
Medicare will deny lung cancer screening claims that do not include these ICD-10 diagnosis codes: • Z87.891 those who have formerly smoked (personal history of nicotine dependence) • F17.21 those who currently smoke (nicotine dependence)
Z12.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Encounter for screening for malignant neoplasm of oth sites. The 2025 edition of ICD-10-CM Z12.89 became effective on October 1, 2024.
08/2015 - The purpose of this Change Request (CR) is to inform contractors that Medicare covers lung cancer screening with low dose computed tomography (LDCT) if all eligibility requirements listed in the National Coverage Determination(NCD) are met.
Z00-Z13. ›. Encounter for screening for malignant neoplasms Z12- Applicable To. Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease. Use Additional. code to identify any family history of malignant neoplasm (Z80.-)
Z12.2 is a billable diagnosis code used to specify a medical diagnosis of encounter for screening for malignant neoplasm of respiratory organs. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.
The American Cancer Society (ACS) is significantly evolving the guideline about who is considered to have a high risk for developing lung cancer and should get screened for it each year with a low-dose computed tomography scan (also called a low-dose CT scan or LDCT).
The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years.