Under current CMS guidelines, planned colorectal screening tests are free; however, when add-on procedures are performed during the colorectal cancer screening encounter, the patient is required to pay a coinsurance.
The newsletter states beginning January 1, 2023, CMS will gradually reduce coinsurance for procedures performed in connection with a colorectal screening test, as a result of the screening, or at the same encounter as the screening.
According to the newsletter, the gradual reduction will be phased according to the timetable below:
For more information about the coinsurance update, please review CMS change request (CR)12656: