TMPPM 2011 > Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook > Physician > Services/Benefits, Limitations, and Prior Authorization > BRCA Testing > Genetic Testing for Colorectal Cancer

8.2.13.7.1 Testing for Familial Adenomatous Polyposis

Testing for familial adenomatous polyposis (procedure codes S3833 and S3834) may be offered to clients who have well-defined hereditary cancer syndromes and for whom a positive or negative result will change medical care. Genetic testing should only be offered to clients who are 8 years of age and older. Testing for familial adenomatous polyposis may be considered for reimbursement with documentation of at least one of the following:

•The client has more than 20 polyps.

•The client has a first-degree relative with familial adenomatous polyposis and a documented mutation.