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US · guidance

CMS Pub. 100-02, ch. 15, § 280.2.1

Covered Services and HCPCS Codes

activein force · 2026-08-25 – presentas-observed

See Business Requirements at http://cms.hhs.gov/manuals/pm_trans/R3BP.pdf

(Rev. 3, 12-19-03)

B3-4180.1

Medicare covers colorectal cancer screening test/procedures for the early detection of

colorectal cancer for the HCPCS codes indicated.

A. Effective for Services Furnished On or After January 1, 1998:

G0107 - Colorectal cancer screening; fecal-Occult blood test, 1-3 simultaneous

determinations;

G0104 - Colorectal cancer screening; flexible sigmoidoscopy;

G0105 - Colorectal cancer screening; colonoscopy on individual at high risk;

G0106 - Colorectal cancer screening barium enema; alternative to GO104,

screening sigmoidoscopy;

G0120 - Colorectal cancer screening barium enema; alternative to GO105,

screening sigmoidoscopy.

B. Effective for Services Furnished On or After July 1, 2001:

G0121 - Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting

Criteria for High Risk

C. Effective for Services Furnished On or After January 1, 2004:

G0328 - Colorectal cancer screening; fecal -occult blood test, immunoassay, 1- 3

simultaneous determinations.

History

(Rev. 3, 12-19-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
a2515291f22b5d78114c7f21465934bb26695ab1ad7a36666f8b65725e3c78a1
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