Unraveling Medical Coding

CMS - Friend or Foe? The Cologuard Controversy


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Coding rules for Colonoscopies are complex, especially those relating to Screening Colonoscopies.  The Cologuard test is becoming more popular as a non-invasive colorectal cancer screening test.  On January 1, 2023, CMS changed its payment policy regarding Colonoscopy after a positive Cologuard test.  This rule change has been widely misinterpreted.  This episode explains how the host, Piyush Sheth, MD, resolved the controversy.


CMS Response to Dr. Sheth link:

https://drive.google.com/file/d/1glZ5xEoDhm8ZYvEHZpBzkSwF_4Ch5-Hm/view?usp=sharing

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Unraveling Medical CodingBy Piyush Sheth

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