HCPCS code G0296 — Visit to determ ldct elig.
Status: Active.
Effective Feb 5, 2015.
Source: CMS HCPCS Level II.
G0296
ActiveVisit to determ ldct elig
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Feb 5, 2015
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5822
MUE — Medically Unlikely Edits
Maximum units of G0296 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits