G0296 Visit to determ ldct eligCounseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)
Status A: active, paid separately under the PFS if covered. National amounts: non-facility $28.72, facility $22.38 (total RVUs 0.86 / 0.67 × $33.4009 conversion factor). Work RVU 0.52, practice expense RVU 0.31 non-facility and 0.12 facility, malpractice RVU 0.03. Global period XXX. Qualifying APM participants are paid at a $33.5675 conversion factor.
G0296 appears in 2 coverage policies from Aetna, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Lung Cancer Screening (0380) | covered if criteria are met | May 28, 2026 | payer document |
| Premera Blue Cross | Preventive Care Lung cancer screening (CT scan) for those at higher risk | covered if criteria are met | Sep 21, 2026 | payer document |
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.