Current 2024 Caduceus Screening and Testing Guidelines

Policy based on guidance from the United States Preventive Services Task Force, the Centers
for Disease Control and Prevention, the American Academy of Family Physicians, the American
College of Obstetricians and Gynecologists, and peer-reviewed medical literature.

Chief Medical Officer Nathaniel DeNicola MD and the Caduceus Physicians Board recommend the following medical screenings and testing for our patients this year:


Age 21 – 30: every 5 years
Age 30 – 40: every 2 years
Age 50 and older: every year

Labs include: cholesterol, diabetes markers (hemoglobin A1C), prostate specific antigen (PSA)
as indicated, thyroid and other hormone profiles (female hormones, testosterone as indicated),
anemia markers, general blood chemistries, vitamin D, and electrolytes.


Begin screening at age 21
Age 21 – 29: every 3 years with high-risk human papillomavirus (HR HPV) as indicated
Age 30 – 65: every 5 years with HR HPV (co-testing)

Abnormal Pap Smear results may require testing every year until at least 2 consecutive normal


Age 40 – 50: may begin screening every 1-2 years
Age 50 – 75: every year

Screening may begin prior to age 40 based on individual risk factors.


Age 45 – 75: every 10 years in the absence of abnormal findings.

Targeted testing at more frequent intervals and with additional modalities may be ordered as


Women age 50 and over: every 1-2 years.

Screening every 1-2 years should initiate earlier if menopause occurs or is induced prior to age
50 (premature ovarian failure, surgery to remove both ovaries, medications that induce
menopause like GNRH agonists).


Age 65 – 75 with a history of tobacco use: one time screening ultrasound.

Screening may be initiated earlier or repeated based on individual risk factors.


Age 21 and older: every year with annual exam.

Screening may be more frequent based on risk factors: history of severe atypia, personal
history of skin cancer, first degree relative with melanoma, history of prolonged sun exposure
or sunburns, fair skin, blonde/red hair or blue/green eyes.