tci General Surgery Coding Alert - 2023 Issue Q1

Coverage Rules: Capture Pay for Expanded CRC Screening Procedures

See impact on colonoscopy, flexible sigmoidoscopy. If you haven’t incorporated colorectal cancer (CRC) screening coverage changes from recent Medicare Physician Fee Schedule (MPFS) rules, you could be missing reimbursement your general surgery practice deserves. Help is here: Use this rundown of screening CRC codes, plus an explanation of recent changes to make sure your practice is up to date. Recognize Covered CRC Screening Tests and Codes For most screening CRC tests, Medicare requires you to use a HCPCS Level II code instead of a similar CPT® code that you would use for essentially the same test performed for...

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