Medicare guidelines for colorectal cancer screening

Why This Topic Matters

Colorectal cancer screening billing is sensitive to Medicare-specific coverage rules, age and risk criteria, and service-frequency limitations. Understanding the applicable guidance helps avoid denials and supports compliant preventive screening claims.

Article Sections

1. G0104 - Colorectal Cancer Screening; Flexible Sigmoidoscopy

   Discusses Medicare coverage context for flexible sigmoidoscopy screening, including eligibility and timing considerations. Also addresses what happens when findings during the screening change the service category.

2. G0105 - Colorectal Cancer Screening; Colonoscopy on Individual at High Risk

   Discusses Medicare coverage context for screening colonoscopy in beneficiaries at high risk. Also addresses timing and circumstances that affect how the screening service is handled.