In compliance with federal guidelines, a follow-up colonoscopy after a positive non-invasive stool-based screening test or direct visualization test is covered as a preventive service for AmeriHealth New Jersey and AmeriHealth Pennsylvania Commercial members.

For those who are eligible for preventive colorectal cancer screening in accordance with the Preventive Care Services policy, a follow-up colonoscopy after a positive non-invasive stool-based screening test or direct visualization test is part of the preventive screening and therefore covered as a preventive service.

Please read the Medical Policy News Article for background information, links to impacted policies, and eligible procedure codes.