US · guidance
CMS Pub. 100-04, ch. 7, § 80.6
Colorectal Cancer Screening
See the Medicare Benefit Policy Manual, Chapter 15, "Covered Medical and Other
Health Services," §80.5, for coverage of colorectal rectal screening services.
Effective for services furnished on or after January 1, 1998, payment may be made for
colorectal cancer screening for the early detection of cancer. For screening colonoscopy
services (one of the types of services included in this benefit) prior to July 2001, coverage
was limited to high-risk individuals. For services July 1, 2001, and later, screening
colonoscopies are covered for individuals not at high risk. Screening colonoscopies are
not payable to the SNF. Screening colonoscopies are only covered when rendered in a
hospital or CAH.
For all other colorectal screening services payment is made under the MPFS or the
clinical diagnostic laboratory fee schedule based on the service rendered.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
73bb8f6983646d1e6cf8e1372642798c82c3e072729072d67933a4230e6d08f4
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