MedicaidBilling CodesMedium impact
Coverage Policy for Low-Dose Computed Tomography Scans
Wisconsin Medicaid (ForwardHealth)·WI · Radiology, Pulmonology, Family Medicine +1 more·Medical Policy
Effective date
Oct 1, 2014
We identified it
Jun 20, 2026
Summary
ForwardHealth (Wisconsin Medicaid/BadgerCare Plus) now covers low-dose CT scans for lung cancer screening using specific HCPCS code S8032 without prior authorization for eligible patients aged 55-80 with smoking history. Providers can no longer bill low-dose CT lung cancer screening under CPT 71250.
Action Required
Immediately: Billing team must update systems to use HCPCS code S8032 for low-dose CT lung cancer screening instead of CPT 71250 for Wisconsin Medicaid and BadgerCare Plus patients. Verify patient eligibility criteria (age 55-80, 30-pack-year smoking history, appropriate ICD codes) before billing. Claims using CPT 71250 for low-dose CT lung screening will no longer be reimbursed.