Refer a Patient: Radiology Mount Zion – Divisadero St.

Note: Lung cancer screening referrals must be sent by fax. All other types of referrals may be sent online or by fax.

Lung cancer screening: Eligibility and what to send

To be eligible for lung cancer screening, your patient must meet all the following criteria, which should be documented in their chart:

• Between 50 and 80 years of age (with variation based on insurance coverage)
• Current smoker or former smoker who quit in the past 15 years
• Smoking history of 20 pack-years or more
• No clinical signs or symptoms of lung cancer (for example, hemoptysis)

The chart must also include:

• Documentation of shared decision-making with the patient, including discussion of the risks and benefits of screening
• Documentation that smoking cessation resources were offered to the patient

If you have questions, please contact the lung cancer screening nurse navigator, Betsy Antonelli, at [email protected] or 415-244-5094.