Medicare AdvantageCoverageMedium impact
Updated Preventive Coverage for Colorectal Cancer Screening and Ultrasound Abdominal Aortic Aneurysm (AAA) Screening for Medicare Advantage members (Retroactively Effective)
Independence Blue Cross·Gastroenterology, General Surgery, Internal Medicine +1 more·News & Announcements
We identified it
Jun 19, 2026
Summary
Medicare Advantage plans have updated preventive coverage for colorectal cancer screening and ultrasound abdominal aortic aneurysm (AAA) screening, effective retroactively. Billing teams must verify coverage parameters and adjust claims processing for these preventive services to ensure proper reimbursement and avoid denials for MA members.
Action Required
Immediately: Billing team must obtain and review the full policy text from the source URL (https://medpolicy.ibx.com/ibc/ma/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=06&FilterField2=MPSiteActivityLogYear&FilterValue2=2025#medicare-advantage-updated-preventive-coverage-for-colorecta) to identify specific CPT and HCPCS codes affected. Once specific codes are identified, update billing system edits and claims submission protocols for Medicare Advantage plans to reflect new coverage rules. Notify providers of any changes to preventive service billing requirements. Flag all retroactive claims (dating back to retroactive effective date) for potential rebilling to ensure accurate reimbursement under the new coverage policy.