Navigated to CMS - Friend or Foe? The Cologuard Controversy

CMS - Friend or Foe? The Cologuard Controversy

March 25
12 mins

Episode 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

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