Lung Cancer Screening Program
- Are between 55-88 years of age (55-77 for Medicare & Medicaid patients)
- Have smoked at least 30 pack years (for example, smoking more than 1 pack per day for 30 years or 2 packs per day for 15 years)
- If a former smoker, has quit within the past 15 years.
Lung Cancer Screening is now covered by Medicare & Medicaid Oregon and most 3rd party payers.
Lung Cancer screening can potentially detect lung cancer at an earlier stage in high risk patients, improving the chance for cure and survival.
The National Lung Screening trial (NLST) has shown that lung cancer screening with low dose CT scan reduced death from lung cancer by 20%.
Low Dose CT Lung Cancer screening is endorsed by many professional societies, such as the American Cancer Society, American College of Chest Physicians, American Society of Clinical Oncology, National Comprehensive Cancer Network and American College of Radiology. These societies have recommended that lung cancer screening should be conducted at a center with subspecialty trained thoracic radiologists as part of a dedicated multidisciplinary team, to provide CT scan interpretations with the most expertise.
AT OHSU, CT interpretation will be performed only by fellowship trained thoracic radiologists; a radiologist with subspecialty training in lung diseases. Using the newest low dose CT (LDCT) scan technologies, earliest detection is possible with as low as possible radiation exposure. Center for Health & Healing Radiology department is an accredited Lung Cancer Screen Center.
Positive screening results requiring further interventions will be discussed during the weekly OHSU multidisciplinary lung cancer conference and decisions to proceed with any further actions are made by the conference members jointly and in consultation with your personnel health care providers.
The OHSU multidisciplinary lung cancer conference brings together a team of specialists in chest diseases from radiology, thoracic surgery, pulmonary medicine, medical oncology, radiation oncology, and pathology. It is with that collaboration, that the most suitable treatment decisions are made and the best outcomes are achieved. Every patient will be discussed individually providing for an individualized and therefore optimized treatment plan.
More information about insurance and cost to the patient
For patients whose insurance covers CT Lung Cancer Screening, their insurance can now be billed. Patients will be responsible for paying any remaining balances. Therefore, please have them check their benefits with their insurance carrier to determine their out-of-pocket expense. Though many insurance carriers are covering this exam, it is still important for patients to verify their coverage as each plan is unique.
Their insurance carrier may ask for the HCPCS/CPT which will be billed. Please provide them with this detail. HCPCS Code S8032 will be billed, however if the insurance doesn’t accept this code, it will be billed with CPT Code 71250 and Modifier 52.
For patients whose insurance will not the exam, OHSU does offer a self-pay price.
For more information
Bart Moulton, MD