Special coinsurance rule for certain colorectal cancer screening tests
(1) In general
(1)In general#
In the case of a colorectal cancer screening test to which paragraph (1)(Y) of subsection (a) would not apply but for the third sentence of such subsection that is furnished during a year beginning on or after January 1, 2022 , and before January 1, 2030 , the amount paid shall be equal to the specified percent (as defined in paragraph (2)) for such year of the lesser of the actual charge for the service or the amount determined under the fee schedule that applies to such test under this part (or, in the case such test is a covered OPD service (as defined in subsection (t)(1)(B)), the amount determined under subsection (t)).
(2)Specified percent defined#
For purposes of paragraph (1), the term “specified percent” means—
(A) for 2022, 80 percent;
(B) for 2023 through 2026, 85 percent; and
(C) for 2027 through 2029, 90 percent.
(2)(A)#
for 2022, 80 percent;
(2)(B)#
for 2023 through 2026, 85 percent; and
(2)(C)#
for 2027 through 2029, 90 percent.