First Coast – Colorectal cancer screening tests held until April release

Issue:

Colorectal cancer (CRC) screening test claims, HCPCS G0104, G0105, G0106, G0120, G0121, G0327, G0328, 81528 and 82270, with dates of service on or after January 1, 2023, will be held until national editing related to age and frequency limitations is implemented per the updated policies finalized in the calendar year 2023 Physician Fee Schedule (PFS) Final Rule (87 FR 69404), published in the Federal Register on November 18, 2022.

Resolution:

Claims containing these HCPCS will be held in status location S/MT099 until the April 2023 release.

Status/date resolved:

Closed. The correction was installed on February 27. All claims held have been released for processing.

Provider action:

No action required at this time

Source: https://medicare.fcso.com/Processing_Issues/0501553.asp