FRM-3006-01-c-2025

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The document is a Cologuard order and requisition form from Exact Sciences Laboratories, LLC. It provides detailed instructions for healthcare providers to order the stool-based DNA test for colorectal cancer screening. The form includes sections for provider information, test details, patient assignment of benefits, and patient demographic information. It emphasizes the need for secure fax communication and compliance with HIPAA regulations.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the difference between 45380 and 45378?

There are two CPT codes for fecal-occult blood tests: 82270, Blood, occult, by peroxidase activity (e.g., guaiac), qualitative; feces, 13 simultaneous determinations, and 82274, Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 13 simultaneous determinations.For most payers

What is CPT code 80081?

A family of CPT codes applies to colonoscopy. For example, code 45378 applies to a colonoscopy in which no polyp is detected, while codes 45380-45385 apply to colonoscopy that involves an intervention (e.g., 45385 is the code for colonoscopy with polypectomy.)

Whats the phone number for Cologuard?

Order a Cologuard Test by Fax Fill out this order form entirely and fax it to Exact Sciences at 1-844-870-8875.

How do I order Cologuard for a patient?

Were here to help. Simply give us a call at 1-844-870-8870.

What is the CPT code for cologuard?

Our 2 Easy Ways to Request Cologuard. If youre 45+ at average risk for colon cancer, there are two easy ways that you can request Cologuard. Simply request it online or talk with your healthcare provider and well deliver your prescribed kit right to your door.

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