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CPT codes, descriptors and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS apply.


Colorectal Cancer Screening - Colonoscopy

1. When code G0121 (colorectal cancer screening) is billed for a low risk diagnosis and there are no signs or symptoms, what diagnosis should be used? (Last Reviewed: July 16, 2008)




1. When code G0121 (colorectal cancer screening) is billed for a low risk diagnosis and there are no signs or symptoms, what diagnosis should be used? (Last Reviewed: July 16, 2008)

You may use any low risk diagnosis that is applicable to the patient. The Medical Director's office cannot designate a specific diagnosis to use with code G0121 because the choices available are too varied. Please refer to Pub. 100-02, Medicare Benefit Policy Manual, Chapter 15, §280.2 for information regarding coverage and billing requirements for colorectal cancer screening tests.


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Additional FAQs can be found by visiting the FAQs section of the Centers for Medicare & Medicaid Services (CMS) Web site. CMS FAQs cover a wide range of Medicare-related topics, and are searchable by category and topic.
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July 16, 2008



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