HCPCS code G9659 — >=86y scr colo nomed rsn. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

G9659

Active

>=86y scr colo nomed rsn

Patients greater than or equal to 86 years of age who underwent a screening colonoscopy and did not have a history of colorectal cancer or other valid medical reason for the colonoscopy, including: iron deficiency anemia, lower gastrointestinal bleeding, familial adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits

Category: Procedures
Section: G-codes: Procedures / Professional Services
Effective: Jan 1, 2025
Code type: alphanumeric
OPPS Status: M — Items / services not billable to the fiscal intermediary or MAC

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • Revised 2025-Q1
    >=86y no hx colo ca/rsn scop
    >=86y scr colo nomed rsn
  • New Code 2025-Q1
    >=86y scr colo nomed rsn