Laboratory Question for the Week of July 25, 2016

Laboratory Compliance Question of the Week


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


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

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