Medicare Creates New Code g0328 for Immunoassay Fecal Occult Test

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers Medicare’s creation of a new G code for immunoassay fecal occult blood testing, along with the broader screening and diagnostic test landscape for colorectal cancer. It is relevant to coders, billing staff, and compliance teams who need to track Medicare coverage updates, fee schedule changes, national coverage guidance, and the relationship between screening and diagnostic fecal occult blood testing and related endoscopy alternatives.

Why This Topic Matters

The update affects how Medicare screening services are reported and understood within preventive colorectal cancer testing. It also helps coding and billing professionals distinguish the article’s new Medicare coverage item from related CPT and HCPCS services discussed in the same context.

Article Sections

  1. New Medicare screening code and fee schedule update

    Introduces the Medicare coverage change and the new screening code in the context of the 2004 fee schedule and national limit. It also notes the effective date and the general type of test involved.

  2. Relationship to existing fecal occult blood testing and coverage

    Describes how the new screening option relates to existing fecal occult blood testing approaches and their Medicare coverage context. It also references associated diagnostic and screening services discussed alongside the change.

  3. National coverage guidance and clinical rationale

    Summarizes Medicare’s national coverage activity and the broader technology assessment supporting coverage of the test. It also addresses the general policy rationale and implementation background.

What You Will Learn

  • How Medicare introduced the new screening code in the fee schedule context
  • How the article situates the new test among other fecal occult blood testing options
  • What types of Medicare coverage and national guidance are discussed
  • Which broader colorectal cancer screening services are referenced as related alternatives

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Practice managers
  • Gastroenterology practices

Codes Discussed

Code Ranges Discussed

  • ICD-9-CM: 159.0-159.9
  • ICD-9-CM: V16.51-V16.59

Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?