tci Part B Insider - 2003 Issue 20

82270 Versus G0107 - Same Test, Different Diagnoses - Understand the Difference Between Screening and Diagnostic

Billing for fecal occult blood tests (82270) became a lot more complicated last year when the Centers for Medicare & Medicaid Services laid out a list of diagnostic codes that were valid. In the mammoth program memo AB-02-110 last year, CMS warned physicians not to think about billing for CPT 82270 unless the patient had the symptoms listed on the page. That meant physicians could no longer bill for 82270 when they were using FOBT to screen for colorectal cancer. Luckily for physicians though, CMS said they could bill for that procedure using G0107 instead. Both procedures reimburse...

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