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Unraveling Medical Coding
Piyush Sheth
CMS - Friend or Foe? The Cologuard Controversy
MAR 25, 202512 MIN
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Description
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

