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Waiver of Coinsurance and Deductible for Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)

This change request (CR) instructs contractors to waive coinsurance and deductible for Screening for Lung Cancer with Low Dose Computed Tomography (LDCT) HCPCS code 71271 when submitted on 12X, 13X, 22X, 23X, 71X, 77X, and 85X Type of Bill (TOB) claims. This CR also instructs contractors to waive deductible and coinsurance for HCPCS code 71271 on professional claims. In addition, this CR updates the IOM Pub. 100-04, Chapter 18.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 10, 2021

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.