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CMS Proposes Coverage For Colorectal Cancer Blood-Based Tests – Except For Epigenomics’ Screen

 
• By Sue Darcey

The US Medicare agency coupled its proposed coverage memo on colorectal cancer screens based on blood-based biomarker tests with a note that the Epi proColon assay does not meet its criteria.

Medicare has issued a proposed decision memo for screening for colorectal cancer

The US Centers for Medicare and Medicaid Services (CMS) has proposed that evidence is sufficient to cover a blood-based biomarker test as a colorectal cancer screening test once every three years, but added it is not proposing to cover Epigenomics’ Epi proColon assay, which did not meet the agency’s criteria for coverage.

Alternatively, blood-based biomarker tests for the cancer could be covered at intervals designated in the Food and Drug Administration label, if the FDA indicates a specific test interval for the screen, or may be used by Medicare beneficiaries when

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