What Is CPT Code 71271 for a Heart CT Scan?

CPT codes are standardized, five-character alphanumeric codes maintained by the American Medical Association (AMA). They describe medical services and procedures, facilitating clear communication and efficient billing within the healthcare system. CPT codes appear on medical documents, helping patients and insurance companies understand services rendered. This article focuses on CPT Code 71271, detailing its application in medical imaging.

What CPT Code 71271 Represents

CPT Code 71271 describes a “Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s).” A computed tomography (CT) scan uses X-rays from multiple angles to create detailed cross-sectional images of internal body structures. These images offer more detail than standard X-rays, allowing healthcare providers to visualize organs, bones, and soft tissues.

The term “thorax” indicates the scan focuses on the chest. “Low dose” refers to the reduced amount of radiation used to minimize exposure during screening. “Without contrast material(s)” signifies no dye is injected. Contrast materials are typically used in other CT scans to highlight blood vessels or specific organs for better visualization.

When This Scan Is Performed

A CT scan coded as 71271 is performed specifically for lung cancer screening. This type of low-dose computed tomography (LDCT) scan is recommended for individuals who meet certain criteria indicating a higher risk for lung cancer. Guidelines for screening typically include age, smoking history, and the absence of current lung cancer symptoms.

Individuals generally considered eligible for this screening are those between 50 and 80 years old with a substantial smoking history, such as at least 20 pack-years, and who either currently smoke or have quit within the last 15 years. The scan aims to detect early signs of lung cancer, which can improve treatment outcomes. This screening is distinct from diagnostic CT scans, which are ordered to investigate existing symptoms or known conditions.

The Scan Experience

The CT scan for lung cancer screening is generally a straightforward process. Patients are typically advised to wear comfortable, loose-fitting clothing and remove any metal objects, such as jewelry, that could interfere with the imaging.

During the scan, the patient lies on a movable table that slides into the opening of the CT scanner, which resembles a large doughnut. The technologist operates the machine from an adjacent room but can communicate with the patient through an intercom system. Patients are instructed to remain very still and may be asked to hold their breath for short periods to ensure clear images. The actual scanning time is usually brief, though the entire appointment may take longer for preparation. After the scan, patients can typically resume their normal activities.

Understanding Your Medical Bill

When you receive a medical bill, CPT Code 71271 will represent the low-dose CT scan of your thorax for lung cancer screening. This code helps your insurance company identify the specific service provided, which is essential for processing your claim. The cost of the scan may be subject to your health insurance plan’s terms, including deductibles, copayments, or coinsurance.

A deductible is the amount you must pay out-of-pocket before your insurance begins to cover costs. Coinsurance refers to a percentage of the service cost you are responsible for after meeting your deductible, while a copayment is a fixed amount paid at the time of service. You should receive an Explanation of Benefits (EOB) from your insurance provider, which details how the service was processed, the amount covered by your plan, and any remaining balance you owe. If you have questions about your bill or coverage, contacting your healthcare provider’s billing department or your insurance company directly can provide clarification.