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. 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. To get paid for the test as a screening, the clinician must order the test with an accepted diagnosis code indicating the high-risk status of the patient.. Moreover , if the test is positive, then you may pick the final ICD-10 code from the path report and the physician must document this in the medical record of the patient. A positive result does not necessarily mean your patient has cancer. It means that. Patients with a negative diagnostic colonoscopy following a positive Cologuard result do not require additional clinical evaluation. *If a result cannot be. What ICD-10/diagnosis code(s) should be used for Cologuard? CMS' most recent . Jan 5, 2016 . evidence is sufficient to cover Cologuard™ - a multitarget stool DNA test – as a colorectal. Once ICD-10 is implemented, the claim must reflect ICD-10 diagnosis codes Z12.12 and Z12.11. MACs will only pay for HCPCS code G0464 when it is submitted on Types of Bill (TOB). 13X hospital outpatient . CPT. ®. Codes. Description. 81528. Oncology (colorectal) screening, quantitative real time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of. NDRG4 and BMP3) and fecal hemoglobin, utilizing stool , algorithm reported as a positive or negative result. HCPCS. Codes. Description. 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. 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; › . Short Description: Other fecal abnormalities. Long Description: Other fecal abnormalities. This is the 2018 version of the ICD-10-CM diagnosis code R19.5. Valid for Submission The code R19.5 is valid for submission for HIPAA-covered transactions. Code Classification. Symptoms, signs and abnormal clinical and laboratory .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. Number: 0516. Policy. Routine Screening. Aetna considers any of the following colorectal cancer screening tests medically necessary preventive services for average. Other fecal abnormalities. 2016 2017 2018 Billable/Specific Code. R19.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for . ★★★ Diabetes Diagnosis Code Icd 10 ★★★ Free Diabetes Supplies ::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days Fit test.