MED.00141 High-volume Colonic Irrigation

This policy addresses high-volume colonic irrigation, which involves instilling large volumes (≥35 liters) of water via the rectum to evacuate colonic contents. Anthem deems this service investigational and not medically necessary, and it is not covered for any indication. Noncoverage applies to all uses, including as an alternative bowel preparation for colonoscopy or as a treatment for constipation or bloating; no covered exceptions are specified.

"High-volume colonic irrigation is consideredinvestigational and not medically necessaryfor all indications."

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