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Requirements for CT Lung Cancer Screening

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

CT Lung Cancer Screening Guide

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

Form Letter

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