Becker's Healthcare December 9, 2025
Patsy Newitt

ASCs are seeing a surge in colonoscopy demand as CRC rates rise, especially among adults under 50.

Updated screening guidelines that lowered the recommended starting age from 50 to 45 have added millions of newly eligible patients, driving a steady increase in screening volume. Practices report noticeable jumps in patient inquiries and referrals since the guideline change.

Omar Khokhar, MD, a gastroenterologist at Illinois GastroHealth in Bloomington, told Becker’s that colonoscopy demand in 2025 has been a “double-edged sword.”

“On one hand, volume stayed high — screening normalization post-pandemic plus aging demographics kept our calendars full,” he said. “On the other hand, that demand exposed our early choke points.”

With GI procedures accounting for 28.3% of all Medicare ASC...

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