In Reply to: Our GI doesn't use screening CPT codes for anyone. posted by Per my paperwork to call ins. company. sm on Sun, Oct 10 2021 at 12:36 PM CDT:
Also different sets of codes for insurance payers vs Medicare.
As part of the Affordable Care Act (ACA), Medicare and third-party payers are required to cover services given an A or B rating by the U.S. Preventive Services Task Force (USPSTF) without a co-pay or deductible. That is, the patient has no patient due amount.
It's good to note that Medicare still waves the deductible if screening converts to diagnostic or therapeutic. I don't know about other insurance payers.
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