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Wiki FOBT Test With CMS insurance

StacyTerramiggi

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Farmington, MO
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I have posted this question on different forums but now I am thing maybe it would be best to post on GI

We have a patient seen at out office who was having abdominal pain consistent with colon spasms. Pt was born in 1971 which makes him under 50 years of age. I am having and issue with Medicare paying on the G0328 stating code in inconsistent with the pt age. I called Medicare and they stated that there was an age appropriate code. Would you happen to know anything about an appropriate code I can use I looked on CMS but have not gotten to far as locating this code

I would just like to add this was done for diagnostic purpose so I do not believe an 81174 would be appropriate

We coded G0328 = FOBT / DX: 564.1= Abdominal pain secondary to colon spasm


Thank you for your help Have an awesome day!!
 
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