Cologuard. Policy/Criteria. I. It is the policy of health plans affiliated with Centene Corporation. ® that screening for colorectal cancer by DNA analysis of stool (i.e.,. ICD-10-CM Diagnosis Codes that Support Coverage Criteria. ICD-10-CM. Code. Description. Z12.11. Encounter for screening for malignant neoplasm of colon. Free, official information about 2013 (and also 2015) ICD-9-CM diagnosis code 792.1, including coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion. Jul 8, 2017 . prenatal genetic screening tests for a member with one of the pregnancy diagnosis codes specified in the Applicable Coding. . and no polyps (and necessary follow up if polyps detected or positive stool test); OR. 4.. .. http://www. cologuardtest.com/what-to-expect-with-cologuard/faq/cpt-hcpcs-icd10-coeds. What is the appropriate ICD-10 code for Positive Cologuard Test? This is the reason for the procedure. Thanks in advance. SuperCoder Posted 1 Year(s) ago. Greetings from SuperCoder.com! The Cologuard test is the first stool-based colorectal screening test to detect the presence of red blood cells and DNA mutations . Oct 21, 2015 . Good Morning All! I am curious if anyone has recently had to code an office visit or colonoscopy for a positive Cologuard Test. I am the biller and co. Get answers to your questions in the healthcare provider FAQs for Cologuard, the noninvasive stool DNA (sDNA) colorectal cancer screen test patients can take of Cologuard indicates that, in order to successfully process claims for Medicare/ Medicare Advantage patients, claims must include both ICD-10 diagnosis codes  . Jun 19, 2017 . Fecal DNA testing using Cologuard once every 3 years is considered medically necessary for members who meet. positive fecal occult blood test or fecal immunochemical test. 3. No prior history of. . ICD-10 Codes that support payment of the following CPT/HCPCS procedures as a preventive benefit (not . ICD-10-CM Codes; ›; R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified; ›; R10-R19 Symptoms and signs involving the digestive system and abdomen; ›; R19- Other symptoms and signs involving the digestive system and abdomen; › . Cologuard is only billed under CPT code 81528. This code was established by the American Medical Association CPT Editorial Panel (and recognized by Medicare) with an effective date of 1/1/2016. It is also known as a HCPCS Level I or CPT Category I code.Nonspecific reaction to tuberculin skin test without active tuberculosis. 2016 2017 2018 Billable/Specific Code. R76.11 is a billable/specific ICD-10-CM code that can. Number: 0516. Policy. Routine Screening. Aetna considers any of the following colorectal cancer screening tests medically necessary preventive services for average. ★★★ Diabetes Diagnosis Code Icd 10 ★★★ Free Diabetes Supplies ::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days Fit test. Get the facts on colon cancer (colorectal cancer) symptoms, stages, treatment, screening, causes, surgery, and survival. Learn the stages of colon cancer and what to. Coverage Criteria.--The following are the coverage criteria for these screenings: A. Screening Fecal-Occult Blood Tests (Code G0107).--Effective for services.