As an integral part of its mission to help people live healthier lives, UnitedHealthcare is offering additional colon cancer screening options. Beginning July 1, UnitedHealthcare will cover the fecal deoxyribonucleic acid (DNA) testing for the screening of colon cancer (example: Cologuard®).
The U.S. Preventive Services Task Force (USPSTF) recommends screening for colorectal cancer starting at age 50 and continuing until age 75. The risks and benefits of different screening methods vary.
This change applies to UnitedHealthcare fully insured and self-funded customers that follow UnitedHealthcare’s standard preventive coverage.
Updated Preventive Care Services CDG
Effective July 1, the Preventive Care Services Coverage Determination Guideline (CDG) will pay CPT code 81528 as preventive.
In addition to adding coverage for fecal DNA, the July CDG also added a clarification that the codes for fecal immunochemical testing (FIT) are already included in UnitedHealthcare’s Preventive Services benefit.
UnitedHealthcare recommends individuals discuss their screening options for colon cancer with their providers to determine which method best fits their needs.