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Update for Colonoscopies as a Follow up to Positive Sigmoidoscopy
Blue Cross Blue Shield of Kansas·KS · Gastroenterology, Family Medicine, Internal Medicine·Provider News
Effective date
Aug 21, 2022
We identified it
Jun 19, 2026
Summary
BCBS Kansas now covers follow-up screening colonoscopies after abnormal sigmoidoscopy results, following USPSTF recommendations. Claims for these follow-up colonoscopies will be processed as screening tests when billed with appropriate CPT and diagnosis codes according to Preventive Services guidelines.
Action Required
Immediately: Billing team should review any denied claims for follow-up colonoscopies after abnormal sigmoidoscopy from January 1, 2022 onward, as these will be automatically adjusted by BCBS Kansas. For future claims, ensure follow-up colonoscopies after positive sigmoidoscopy are billed with appropriate screening CPT and diagnosis codes per Preventive Services guidelines to ensure proper processing.