Gastroenterology Coding Alert

Reader Questions:

Third Party Typically Bills for Cologuard

Question: We recently started performing Cologuard™ tests and we aren’t sure how to report these tests to Medicare. Even our payer didn’t have a suggestion. Can you advise? Codify Subscriber Answer: Cologuard™ is only billed under CPT® code 81528 (Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) [...]
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