Colonoscopy and Sigmoidoscopy-Diagnostic
J5 · Effective Oct 1, 2015
17 active Medicare policies list 45378, and 4 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
JH · Effective Mar 21, 2021
4 policies from 4 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 45378 |
|---|---|---|
| In Vivo Analysis of Gastro-Intestinal and Urothelial Lesions | Oct 17, 2023 | Covered |
| Policy | Effective | Status of 45378 |
|---|---|---|
| Colonoscopy | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 45378 |
|---|---|---|
| Preventive Care Services | Oct 1, 2026 | Covered |
JL · Effective Mar 21, 2021
J9 · Effective Feb 4, 2026
J5 · Effective Jul 16, 2026
National · Effective Jan 22, 2026
National · Effective Oct 1, 2025
National · Effective Nov 6, 2025
JL · Effective Feb 4, 2026
National · Effective Oct 1, 2025
| Policy | Effective | Status of 45378 |
|---|---|---|
| Site of Care - Colonoscopy and Sigmoidoscopy | Jul 1, 2026 | Covered |