Lung Cancer Screening for Smokers to Start in Germany in April 2026

Starting in April 2026, Germany will implement a nationwide lung cancer screening program for heavy smokers aged 50 to 75, utilizing low-dose computed tomography (LDCT). This initiative, approved by the Federal Joint Committee (G-BA), aims to detect lung cancer at an earlier, more treatable stage.

Who is Eligible for Lung Cancer Screening?

The screening program is designed for individuals who meet specific criteria:

• Age: Between 50 and 75 years old.
• Smoking History: A history of heavy smoking, defined as at least 25 “pack years.” (Smoking 20 cigarettes per day for one year equals one pack year).

The Screening Process

Individuals interested in participating should first consult with their general practitioner or internal medicine physician. The doctor will assess eligibility and discuss the benefits and risks of LDCT screening, providing supporting written information from their health insurance provider. If eligible, the physician will refer the patient to an approved radiology practice for the NDCT scan.

Radiology practices must obtain approval from an association of statutory health insurance physicians and ensure qualified personnel are available to perform and interpret the NDCT images. A second opinion from another specialist will be sought if the NDCT findings require further evaluation.

Quality Assurance and Training

Dr. Bernhard van Treeck, chairman of the method evaluation subcommittee, emphasizes the importance of quality assurance. Physicians referring patients for screening and radiologists interpreting the scans require specialized training to ensure the medical benefits of the program. The G-BA is establishing remuneration figures for doctors, effective April 1, 2026, but full implementation may take time as providers complete the necessary training and accreditation processes [1].

Importance of Smoking Cessation

While early detection is crucial, Dr. Van Treeck stresses that quitting smoking remains the most effective way to reduce lung cancer risk and improve overall health. Physicians are encouraged to discuss smoking cessation with their patients.

Further Information

More information about the screening process and requirements for participating doctors can be found on the G-BA website. Insured individuals can request information from the Association of Statutory Health Insurance Physicians. The G-BA plans to publish plain language versions of informational materials on its website in the future.

Background: Regulatory Framework

The G-BA determines the details of early detection examinations as a service of statutory health insurance. However, examinations involving radiation exposure, such as CT scans, require a legal regulation from the Federal Ministry responsible for radiation protection. The lung cancer early detection regulation from the Federal Ministry for the Environment, Nature Conservation, Nuclear Safety and Consumer Protection came into force on July 1, 2024. The G-BA made its decision on early cancer detection in smokers on June 18, 2025 [4].