A positive test is usually followed up with a colonoscopy. If abnormalities are found, they can be removed or biopsied during the same procedure. All Medicare beneficiaries are entitled to regular colorectal cancer screening. Congress passed a law directing Medicare to pay for three of the four screening tests for colorectal cancer screening. Annual FOBTs are paid for all patients when ordered by the patient's doctor.
Flexible sigmoidoscopy is paid for every four years for average risk patients.
Colonoscopy is paid for every two years for high-risk patients. Colorectal cancer screening should be a part of routine healthcare for people over the age of 50. People at higher risk for colorectal cancer should be screened earlier. These people should discuss colorectal cancer screening with their doctors to determine the right plan for them. Unfortunately, screening rates are low.