decisionhealth Newsletters, Coder Pink Sheets - 2003 Issue 12 (December)
Medicare Creates New Code g0328 for Immunoassay Fecal Occult Test
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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
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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.
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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.
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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
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