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. Author manuscript; available in PMC: 2018 Nov 7.
Published in final edited form as: Am J Manag Care. 2015 Jul;21(7):511–517.

eAppendix 1.

HEDIS Procedure Codes for Colorectal and Breast Cancer Screening

Colorectal Cancer Screening
Colonoscopy CPT: 44388–44394, 44397, 45355, 45378–45387, 45391, 45392. HCPCS: G0105, G0121. ICD-9-CM: 45.22, 45.23, 45.25, 45.42, 45.43.
Fecal occult blood test CPT: 82270, 82274. HCPCS: G0328.
Flexible sigmoidoscopy CPT: 45330–45335, 45337–45342, 45345. HCPCS: G0104. ICD-9-CM : 45.24.
Breast Cancer Screening
Mammography CPT: 77055–77057. HCPCS: G0202, G0204, G0206. ICD-9-CM: 87.36, 87.37.

CPT indicates Current Procedural Terminology; HCPCS, Healthcare Common Procedure Coding System; ICD-9-CM, International Classification of Diseases, Ninth Revision, Clinical Modification.