G0328 — Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Key Coverage Criteria
- Personal history of colorectal cancer, adenoma, or sessile serrated polyp
- Family history of colorectal cancer in close relatives
- Personal history of inflammatory bowel disease (ulcerative colitis or Crohn's disease)
- Personal history of cystic fibrosis
- Genetic and biomarker tests to screen asymptomatic individuals at average risk for specific cancers.
- Genetic and biomarker tests to screen individuals known to be at higher risk for a specific cancer.
1 Active Policy
AMBETTER-CG-Onc-Cancer-Screen-2025.1 — Concert Genetic Oncology: Cancer Screening
Related Codes
Have a follow-up question?
Ask Verity about documentation requirements, denial risks, or coverage in your state.