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HumanaMedicare Advantage · Coverage · Medicare Advantage · Gastroenterology, Family Medicine, Internal Medicine +1 moreMedium impact

Colorectal Cancer Screening - Medicare Advantage (Revised)

Effective date
Jun 8, 2026
Identified
Jun 24, 2026

Summary

Humana Medicare Advantage has revised their colorectal cancer screening policy effective June 8, 2026, with review scheduled for March 10, 2026. This policy update provides comprehensive coverage guidelines for various screening methods including endoscopic, laboratory, and radiologic approaches, with specific exclusions for certain genetic tests.

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What to do

Action · 4 steps
01Before June 8, 2026: Billing team must review current colorectal cancer screening billing practices for Humana Medicare Advantage members.
02Ensure CPT code 81327 (SEPT9 genetic test) is not billed as it remains statutorily excluded.
03Verify that all colorectal screening services align with the updated policy guidelines and related MAC LCD requirements for your geographic jurisdiction.
04Update billing system edits to flag excluded services.

Codes mentioned

81327

Original notice

Colorectal Cancer Screening - Medicare Advantage (Revised)
mcp.humana.com · Always check the source before changing claims.
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Related changes

See all Humana changes →
Colorectal Cancer Screening - Medicare Advantage (Revised)MediumEffective Aug 31, 2026 · Medicare AdvantageBrowse every Humana change in the policy list

Related policy hubs

Humana policiesGastroenterologyFamily MedicineInternal MedicineGeneral PracticeCode 81327

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