Colonoscopy tapped for increased reimbursement

Medicare reimbursement for colorectal screening has been expanded to cover average-risk patients, according to the American College of Gastroenterology (ACG).

The U.S. Congress passed legislation in December, amending a 1997 statute that had provided the initial colorectal cancer screening mandates, according to the ACG.

The Medicare guidelines under this new legislation are:

  • Fecal occult blood tests: will be reimbursable annually (when ordered by the patient's attending physician) for all patients.
  • Flexible sigmoidoscopy: will be reimbursable once every four years for average-risk patients.
  • Screening colonoscopy: will be reimbursable once every ten years for average-risk patients.
  • Screening colonoscopy: will continue to be reimbursable once every two years for high-risk patients.
By AuntMinnie.com staff writers
March 6, 2001

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One-time colonoscopy is cost-effective in adults between 50 and 54 years old, July 20, 2000

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