Insurance
Required Reporting Elements
Required Elements
Exam details:
Facility ID number, patient name, exam date
General:
Smoking status in pack years
Smoking cessation counseling
Documentation of shared decision making
Height, weight, comorbidities, cancer history
Radiologist name, ordering provider and NPI
Indication for the exam
Exam modality, manufacturer, radiation exposure
CT exam results by Lung-RADS™ category
Other abnormalities- CT exam result S modifier
Prior history of lung cancer and years since diagnosis
Follow-up within 1 year
Documentation of an exam anytime within prior 12 months and date
Follow-up diagnostic for tissue:
- Tissue Diagnosis
- Tissue diagnosis method
- Location from which sample was obtained
- Histology
- Stage- Clinical or pathologic
- Overall stage
- T, N, M status
- Period of follow-up for incidence (in months)
Additional Risk Factors:
Education level, radiation exposure, occupational exposures, history of cancers associated with a higher risk of lung cancer, lung cancer in first-degree relative, other family history of lung cancer, COPD, pulmonary fibrosis, secondhand smoke exposure.
Name of person performing data collection for the exam, submission date.
Eligibilty For Screening, Clinical Decision Support and Shared Decision-Making
Best Practice Advisory in the Electronic Record
Clinical Decision Support Tools
Decision Aid |
Source |
Media |
Individualized risk assessment |
Criteria for positive scan |
Link |
|---|---|---|---|---|---|
Should I Screen |
University of Michigan |
Web - Interactive |
Yes |
NLST |
|
LCS with Computerized Tomography (CT) |
American Thoracic Society |
Print |
No |
NLST |
|
LCS Benefits, harms of chest CT scans |
Health Decision |
Web – Interactive |
Yes |
NLST |
|
Lung Cancer: Should I Have Screening? |
Healthwise |
Web – Interactive and print |
No |
NLST |
|
LCS: Yes or No |
Options Grid - Dartmouth Institute |
Web interactive and print |
No |
Lung- RADSTM |
|
LCS |
Center for Clinical Management Research, Ann Arbor VHA |
Web- interactive |
Yes |
NLST |
|
Lung cancer Project |
Genentech |
Web – Interactive and print |
No |
NLST & Lung- RADS™ |
|
LCS Saves Lives |
American Lung Association |
Web – Interactive and print |
No |
NLST |
Click to View Table:
Clinical Decision Support Tools
Surveillance And Follow Up
