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CT Lung Screening Eligibility/Referral ROUTING INSTRUCTIONSThis referral sheet and insurance information are required at the time of your appointment. PATIENT TO TAKE r REPORT r CDS TAT Fax ___ Non
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How to fill out low-dose ct lung cancer

How to fill out low-dose ct lung cancer
01
Consult with your healthcare provider to determine if you are a candidate for low-dose ct lung cancer screening.
02
Schedule an appointment for the ct scan at a facility that offers low-dose ct lung cancer screening.
03
Follow any preparation instructions provided by the healthcare provider or facility.
04
During the ct scan, lie still on the table as the scanner takes images of your lungs.
05
After the scan, wait for the results to be interpreted by a radiologist and for your healthcare provider to review them with you.
Who needs low-dose ct lung cancer?
01
Individuals who have a history of smoking or exposure to environmental risk factors for lung cancer.
02
Those between the ages of 55 and 80 who currently smoke or have quit within the past 15 years.
03
People with a family history of lung cancer or other risk factors as determined by their healthcare provider.
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What is low-dose ct lung cancer?
Low-dose CT lung cancer screening is a type of imaging test used to detect lung cancer in individuals who are at high risk, but do not have any signs or symptoms of the disease.
Who is required to file low-dose ct lung cancer?
Individuals who meet certain criteria for being at high risk for lung cancer are required to undergo low-dose CT lung cancer screening.
How to fill out low-dose ct lung cancer?
Low-dose CT lung cancer screening is typically performed by a medical professional using a CT scanner.
What is the purpose of low-dose ct lung cancer?
The purpose of low-dose CT lung cancer screening is to detect lung cancer at an early stage when it is more likely to be treatable.
What information must be reported on low-dose ct lung cancer?
The results of the low-dose CT lung cancer screening, including any abnormalities or findings, must be reported.
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