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Fecal Occult (FOB testing/ Guiac Method


CPT Code Description of Test National Limit CLIAwaived.com Average Sale Price (per unit) CLIAwaived.com Recommended
Product(s)
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82270QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening). (Guiac) $4.61 $0.69 Hemoccult Fecal Occult Blood Tests (Single Slides) CLICK HERE
82270QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening). (Guiac) $4.61 $0.69 Hemoccult Fecal Occult Blood Tests (Single Slides) CLICK HERE
82270QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening). (Guiac) $4.61 $3.56 Hemoccult II Dispensapak Plus CLICK HERE
82270QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening). (Guiac) $4.61 $0.95 Hemmoccult Sensa (Single Slides) CLICK HERE
82270QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening). (Guiac) $4.61 $3.55 Hemoccult II Sensa Dispensapak Plus CLICK HERE
82270QW/G0328QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening). (82270QW-FOB Diagnostic, G0328QW-Screening) $22.53 Hemmoccult Sensa Elite CLICK HERE
82270QW/G0328QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening). (82270QW-FOB Diagnostic, G0328QW-Screening) $22.53 $5.50 CLIAwaived, Inc. Rapid Fecal Occult Blood Test CLICK HERE
82270QW/G0328QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening). (82270QW-FOB Diagnostic, G0328QW-Screening) $22.53 $6.50 ForSure iFOB Fecal Occult Blood Test CLICK HERE
82270QW/G0328QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening). (82270QW-FOB Diagnostic, G0328QW-Screening) $22.53 $6.50 Hemosure One-Step (Fecal Occult Blood) Test CLICK HERE
82270QW/G0328QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening). (82270QW-FOB Diagnostic, G0328QW-Screening) $22.53 $14.75 QuickVue Quidel iFOB Test Kit CLICK HERE
82270QW/G0328QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening). (82270QW-FOB Diagnostic, G0328QW-Screening) $22.53 Hemoccult ICT Tests CLICK HERE
82272QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening). $4.64 $0.95 Hemoccult Sensa (Single Slides) CLICK HERE
82274QW Detection of blood in feces from whatever cause, benign or malignant (colorectal cancer screening) by immunoassay. (Non-Medicare patient screening) $22.53 Hemoccult ICT Tests CLICK HERE

1Providers operating under a CLIA waiver should use the QW modifier when appropriate.

2CCI, Correct Coding Initiative edits; NCD, National Coverage Determination; LCD, Local Coverage Determination.

3Centers for Medicare and Medicaid Clinical Diagnostic Laboratory Fee Schedule 2011, available at www.cms.hhs.gov/ClinicalLabFeeSched/02_clinlab.asp.

The information provided on this website is current as of 2/8/2012, was obtained from publicly available sources, and is subject to change without notice. All content on this website is for informational purposes only, is general in nature, and does not cover all situations or all payers' rules and policies.

CLIAwaived.com cannot guarantee or promise coverage or payment for any particular item or service from any payer or health benefit plan. To be eligible for coverage, an item or service must be medically necessary for the individual patient, have been performed as reported, and appropriate documentation should be available in the patient's medical record.

It is the individual provider's responsibility to determine appropriate, medically necessary coding, charges and claims for a particular service. Providers are responsible for determining medical necessity for all Medicare recognized panel tests. To be eligible for coverage, each component test must be medically necessary for the individual patient. In addition, for tests grouped on single cassettes or cartridges, providers are responsible for determining the medical necessity of each test for each patient. Laws, regulations and payer policies regarding appropriate coding and payment levels can vary greatly from payer to payer and change over time. CLIAwaived.com recommends that providers contact their own regional payers to determine appropriate coding and charge or payment levels.

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