HCPCS code G9998 — Doc med rsn <3 colon.
Status: Active.
Effective Jan 1, 2024.
Source: CMS HCPCS Level II.
G9998
ActiveDoc med rsn <3 colon
Documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, piecemeal removal of adenomas, or sessile serrated polyps >= 20 mm in size, last colonoscopy found greater than 10 adenomas, lower gastrointestinal bleeding, or patient at high risk for colon cancer due to underlying medical history ([i.e. crohn's disease, ulcerative colitis, personal or family history of colon cancer, hereditary colorectal cancer syndromes])
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2024
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.
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New Code 2024-Q1Doc med rsn <3 colon