Billing Beat

Cologuard™ policy CPT code 81528

November 27, 2017

On November 1, 2017, medical policy #099 Analysis of Human DNA in Stool Samples as a Technique for Colorectal Cancer Screening will no longer be in effect. This procedures will process per the member’s contract benefits. The code for Cologuard™ (CPT code 81528) will also be added as preventive services for healthcare reform compliant plans to process at zero cost-sharing for the member.  

Source: https://providers.bcbsal.org/portal/resources/-/resource/viewArticle/IGTCLTFLV6

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