HCPCS code G0327 — Colon ca scrn;bld-bsd biomrk.
Status: Active.
Effective Jul 1, 2021.
Source: CMS HCPCS Level II.
G0327
ActiveColon ca scrn;bld-bsd biomrk
Colorectal cancer screening; blood-based biomarker
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jul 1, 2021
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of G0327 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with G0327 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0104 | Modifier cannot bypass edit |
| G0105 | Modifier cannot bypass edit |
| G0121 | Modifier cannot bypass edit |
| G0452 | Modifier may bypass edit |
| G0476 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2021-Q3Colon ca scrn;bld-bsd biomrk