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CT Lung Screening Patient Information: Patient Name ___ DOB___ Phone___Diagnosis: ___Z12.2Screening for malignant neoplasm of the respiratory organs ___F17.200Tobacco use ___F17.210F17.219 Nicotine
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How to fill out lung cancer screening assessment

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How to fill out lung cancer screening assessment

01
Obtain a referral from your primary care physician for a lung cancer screening assessment.
02
Schedule an appointment at a healthcare facility that offers lung cancer screening.
03
Arrive at the appointment and complete any necessary paperwork.
04
Undergo a low-dose CT scan of the lungs to detect any abnormalities or signs of lung cancer.
05
Follow up with your healthcare provider to discuss the results and determine next steps.

Who needs lung cancer screening assessment?

01
Individuals who have a history of heavy smoking
02
Individuals between the ages of 55-80 years old
03
Individuals who have been exposed to asbestos or radon
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Lung cancer screening assessment is a process of evaluating individuals for early detection of lung cancer.
Healthcare providers and facilities are required to file lung cancer screening assessments for their patients.
To fill out a lung cancer screening assessment, healthcare providers must gather patient information, perform necessary tests, and input the results into the assessment form.
The purpose of lung cancer screening assessment is to detect lung cancer at an early stage when it is more treatable.
The lung cancer screening assessment must include patient demographics, smoking history, test results, and any relevant medical history.
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