AHA Coding Clinic® for HCPCS - 2016 Issue 1; For Your Information

Reporting for the Cologuard test

The Cologuard test is the first stool-based colorectal screening test able to detect the presence of red blood cells and DNA mutations that may indicate the presence of certain abnormal growths which may be cancerous, such as, colon cancer or precursors to cancer. As of January 1, 2016, the Cologuard test should be reported with 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) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative result. ...

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