What are the CPT, HCPCS, and ICD-10 Codes for Cologuard?
CPT or HCPCS Codes
Cologuard is billed under CPT code 81528. This code was established by the American Medical Association CPT Editorial Panel (and recognized by Medicare) with an effective date of 1/1/2016. It is also known as a HCPCS Level I or CPT Category I code.
As of 1/1/2016, Exact Sciences Laboratories does not use code G0464. We are required to use 81528.
The ICD-10 code is determined by your physician. If you would like to know more about the code that was used in your case, please contact your ordering physician.