Understanding Medicare Colonoscopy Item 32222

What is Medicare Item 32222?

Medicare Item 32222 is one of the Medicare Benefits Schedule (MBS) item numbers commonly used for colonoscopy procedures performed by specialist gastroenterologists or colorectal surgeons when clinically indicated.

The exact Medicare item claimed depends on the reason for the procedure, the findings, and the interventions performed during colonoscopy. Your treating specialist determines the appropriate MBS item in accordance with Medicare requirements.

Common reasons Item 32222 may apply

✓ Positive bowel cancer screening test (FIT/iFOBT)

✓ Rectal bleeding

✓ Iron deficiency anaemia

✓ Change in bowel habit

✓ Surveillance after previous bowel polyps

✓ Family history of bowel cancer

✓ Investigation of gastrointestinal symptoms

Does Medicare cover Item 32222?

  • Medicare provides a rebate depending on whether medicare criteria is met.
  • It does not necessarily mean the procedure is fully covered.
  • There may still be:
    • specialist gap
    • anaesthetist fees
    • hospital fees (if privately insured or self-funded)
    • excess fees

Related Resources