Laboratory Question for the Week of July 25, 2016

Laboratory Compliance Question of the Week

Question:

Is code G0464 still the correct code to use for colorectal cancer screening?

Answer:

For claims with dates of service on and after January 1, 2016, the following code should be used instead of deleted level II code G0464—colorectal cancer screening; stool-based DNA and fecal occult hemoglobin (e.g., KRAS, NDRG4 AND BMP3).

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

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.