Computed tomography (CT) colonography (screening)
Medicare Coverage Information
Overview
Medicare provides coverage for CT colonography as a screening method for colorectal cancer for eligible beneficiaries. This non-invasive screening helps detect potential issues in the colon and rectum with lower risks compared to traditional colonoscopy.
- Covers CT colonography as an alternative colorectal cancer screening method
- Screening is typically covered once every 5 years for individuals at average risk
- Must be performed by a qualified healthcare provider
- Recommended for beneficiaries aged 50-75 with average colorectal cancer risk
- Requires a physician's order and recommendation
- Medicare Part B beneficiaries
- Individuals aged 50-75 with average colorectal cancer risk
- No prior history of colorectal cancer or high-risk conditions
- No cost-sharing (copayment or coinsurance) when performed by a Medicare-approved provider
- Covered under Medicare Part B preventive services
- Deductible may not apply for this preventive screening
- Must be deemed medically appropriate by healthcare provider
- Limited to specific frequency based on individual risk factors
- Not covered if symptoms or high-risk conditions are present
- Requires follow-up diagnostic procedures if abnormalities are detected
- Consult with primary care physician about CT colonography screening
- Verify coverage details with your specific Medicare plan
- Schedule screening with a Medicare-approved healthcare provider
- Discuss personal risk factors and screening frequency
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- MedicareCT colonographyvirtual colonoscopycolorectal cancer screeningpreventive care
Related Coverage Topics
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