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G0296 CPT Code: 2026 Billing Guide for Lung Cancer Screening Counseling

HCPCS code G0296 lung cancer screening counseling visit billing 2026 hero banner: CMS claim edits limited to age 50 to 77 and a qualifying tobacco diagnosis with no national frequency limit, repeat visits allowed only with every NCD 210.14 element documented, F17.21 being a non-billable category header, the visit required once before the first LDCT scan 71271, and the 2026 Medicare national rate of $28.72 non-facility, from ClaimMax RCM.

HCPCS code G0296 is the counseling and shared decision-making visit Medicare requires before a patient’s first low-dose CT (LDCT) lung cancer screening. The provider confirms eligibility and walks the patient through a decision aid before ordering the scan. Medicare waives the deductible and coinsurance, so the patient owes nothing when you accept assignment. Most billers […]