CommercialDocumentationMedium impact
Early screening saves lives: Colorectal cancer doesn’t wait for age
Cigna·Family Medicine, Internal Medicine, General Practice +2 more·General
Effective date
Aug 21, 2025
We identified it
Jun 18, 2026
Summary
Cigna Healthcare provides guidance on colorectal cancer screening recommendations and coverage, emphasizing earlier screening discussions for high-risk patients under 45. For 2025 HEDIS measurement, only electronic clinical data reporting will be used for colon cancer screening measures.
Action Required
For 2025 HEDIS measurement year: Ensure colorectal cancer screening encounters are properly documented in electronic clinical data systems using the specified CPT codes. Verify that all colorectal screening procedures (colonoscopy, CT colonography, stool DNA tests, FOBT, and flexible sigmoidoscopy) are coded accurately with the listed CPT codes and frequencies. Update documentation workflows to capture electronic clinical data rather than relying on other reporting methods.