NCDActive
Colonic Irrigation
NCD2
Effective: January 1, 1966
Updated: December 31, 2025
Policy Summary
Colonic irrigation has no medically indicated uses and lacks evidence of therapeutic value; it is therefore not reasonable and necessary and is excluded from coverage under section 1862(a)(1) of the Act. No documentation, prior authorization, or specified frequency will render this procedure payable.
Coverage Criteria Preview
Key requirements from the full policy
"Colonic irrigation is not medically indicated for any condition and is considered not reasonable and necessary under section 1862(a)(1) of the Act; therefore it is excluded from coverage."
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