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Coding for FOBT test

  1. #1
    Default Coding for FOBT test
    Medical Coding Books
    We have a patient seen at out office who was having abdominal pain consistent with colon spasms. Pt was born in 1971 which makes him under 50 years of age. I am having and issue with Medicare paying on the G0328 stating code in inconsistent with the pt age. I called Medicare and they stated that there was an age appropriate code. Would you happen to know anything about an appropriate code I can use I looked on CMS but have not gotten to far as locating this code

    We coded G0328 = FOBT / DX: 564.1= Abdominal pain secondary to colon spasm

    Thank you for your help Have an awesome day!!

  2. #2
    Smile question
    I seen 38 people looked at this post yet no one answered so I guess I am to assume there is no code for FOBT test used for diagnostic for people under 50. I thought I would reply to my post in case someone else was looking for this same issue.

  3. #3
    Default coding for FOBT
    you would use 82274 when the test is done for purposes other than screening.

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