G0296 Visit to determ ldct elig
Also known as: LDCT eligibility visit, lung cancer screening visit, lung cancer risk assessment
Physician visit to determine eligibility for low-dose computed tomography screening in patients at risk for lung cancer.
In Plain Language
lung cancer screening consultation; smoking history visit
Clinical Context
Required before low-dose CT lung cancer screening. Physician assesses risk factors (smoking history, age) to determine if patient meets Medicare criteria for screening.
RVU Breakdown
| Work RVU | 0.52 |
| Total RVU | 0.52 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
With a work RVU of 0.52, this code ranks in the 28th percentile among G Codes codes — 1.9x below the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0296?
CPT G0296 (Visit to determ ldct elig) is a G Codes code. Physician visit to determine eligibility for low-dose computed tomography screening in patients at risk for lung cancer.
Who uses CPT code G0296?
CPT G0296 is used by Primary Care, Pulmonology, Oncology. Required before low-dose CT lung cancer screening. Physician assesses risk factors (smoking history, age) to determine if patient meets Medicare criteria for screening.
When is CPT G0296 used?
Required before low-dose CT lung cancer screening. Physician assesses risk factors (smoking history, age) to determine if patient meets Medicare criteria for screening.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.