Exact Sciences (EXAS) Gains on UnitedHealth (UNH) Coverage Update

May 30, 2017 5:21 PM EDT

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Short target, Exact Sciences (NASDAQ: EXAS) is gaining after-hours on disclosure UnitedHealth will cover Cologuard effective 7/1.

From the documents:

The following changes are effective as of July 1, 2017, date of service point in time (not at renewal):

Preventive Care Services Table:

  • Colorectal Cancer Screening:
    • Removed 2008 A ratings.
    • Added June 2016 A rating.
    • Added Code Group 6 for Fecal DNA 81528, limited to once every 3 years. No dx code limit.
    • Added FIT to headers. (No impact since coding for FIT is the same as FOBT)

Preventive Care Services Table:  Colorectal Cancer Screening: o Removed 2008 A ratings. o Added June 2016 A rating. o Added Code Group 6 for Fecal DNA 81528, limited to once every 3 years. No dx code limit. o Added FIT to headers. (No impact since coding for FIT is the same as FOBT)



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