National Coverage Determination (NCD) for Screening for Colorectal Cancer Using Cologuard™ - A Multitarget Stool DNA Test
The purpose of this Change Request (CR) is effective for claims with
dates of service on or after October 9, 2014, contractors shall recognize new HCPCS code G0464 (colorectal
cancer screening; stool-based DNA and fecal occult hemoglobin) as a covered service.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 30, 2015
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.