Colorectal cancer blood-based biomarker screenings

Medicare Part B (Medical Insurance) covers a blood-based biomarker lab test to screen for colorectal cancer if you meet all of these conditions:

  • You’re between 45–85.
  • You show no symptoms of colorectal disease (including, but not limited to, lower gastrointestinal pain, blood in stool, or positive guaiac fecal occult blood test or fecal immunochemical test).
  • You're at average risk for developing colorectal cancer meaning:
    • You have no personal history of adenomatous polyps, colorectal cancer, or inflammatory bowel disease, including Crohn’s Disease and ulcerative colitis.
    • You have no family history of colorectal cancers or adenomatous polyps, familial adenomatous polyposis, or hereditary nonpolyposis colorectal cancer.

Your costs in Original Medicare

You pay nothing for this test if your doctor or other health care provider accepts assignment .

Things to know

Medicare covers a blood-based biomarker test (if available) once every 3 years.

Is my test, item, or service covered?