The Palmetto GBA Jurisdiction J Provider Contact Center (PCC) will be closed Monday, May 26, 2025, in observance of the Memorial Day holiday. Please note the webchat feature will be unavailable on this date. However, during this closure, providers can use Sage, Palmetto GBA's chat self-service tool.

Colorectal Cancer Screening

Published 03/03/2021

The Centers for Medicare & Medicaid Services (CMS) offers many resources to assist you when billing for colorectal cancer screenings.

  • CMS MLN Medicare Preventive Services Educational Tool — includes codes, who is covered, frequency, and what the beneficiary pays
  • CMS IOM Pub. 100-04, Medicare Claims Processing Manual, Chapter 18 (PDF, 1.27 MB), Section 60 — Colorectal Cancer Screening 
  • CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 15 (PDF, 1.42 MB), Section 280.2 — Colorectal Cancer Screening

4/15/2025
Colorectal Cancer Screening
Colorectal cancer is the second leading cause of cancer death in the United States. The National Cancer Institute estimates that 152,810 people in the United States received a diagnosis colon or rectal cancer in 2024. Approximately 53,010 died of it. It is the fourth most common cancer diagnosed in the United States. Regular screening, beginning at age 45, is key to preventing colorectal cancer. All beneficiaries between ages 45 to 75 years old should get screened regularly.
4/15/2025
12/11/2020
Fecal Occult Blood Test: Screening and Diagnostic
Fecal Occult Blood Tests (FOBTs) may be covered for both screening and diagnostic purposes.
12/11/2020
Screening Colonoscopy and Evaluation and Management Service on the Same Day
Typically, patients referred for a screening colonoscopy do not have signs or symptoms that support a diagnostic colonoscopy.
12/11/2020

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