Aug 30, 2016 . . Here & Now · 1A · Code Switch · Embedded · It's Been a Minute with Sam Sanders. After a Cologuard screening test for colon cancer comes back positive ,. But if I have a positive Cologuard test result, I'd have to pay several to get a follow-up colonoscopy to check whether the test result was correct. Jul 3, 2012 . process to revise and add new codes, as appropriate. claims using the 2016 Category I CPT codes for lower GI endoscopy procedures.. “sunset,” or are retired, from the CPT book after five years, if they are not accepted as. . test by another health-care professional and an abnormality (e.g. positive test). Cologuard is a non-invasive screening test for colon cancer. colorectal cancer by DNA analysis of stool (i.e., Cologuard) is medically necessary every. positive results, as well as a higher likelihood of follow-up colonoscopy and associated adverse. Inclusion or exclusion of any codes does not guarantee coverage. Nov 21, 2014 . Paramount applies coding edits to all medical claims through. This guideline is solely for explaining correct procedure. Colonoscopy will be needed if the test is positive. Stool-Based DNA Test. after being collected by patients at home. The U.S. Food and Drug Administration approved Cologuard™ in . Jun 19, 2017 . Fecal DNA (Cologuard). positive fecal occult blood test or fecal immunochemical test. . and the appropriate code(s) from the coding section of this policy being. . Guidelines for colonoscopy surveillance after polypectomy: a  . Aetna considers diagnostic testing with FOBT, colonoscopy, sigmoidoscopy and/ or of any particular surveillance regimen after diagnosis and removal of adenomatous. . a positive sDNA test result must then undergo a definitive test for colon cancer,. An example of an sDNA test is Cologuard, which may detect colorectal . What is the appropriate ICD-10 code for Positive Cologuard Test? of certain abnormal growths which may be cancerous, such as, colon cancer or precursors  . 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 . False positives and false negatives occur with Cologuard and appropriate follow- up is. *If a result cannot be obtained due to insufficient sample size, low DNA. codes Z12.11 (encounter for screening for malignant neoplasm of colon) and ..