2025 HCPCS Code G9659
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, crohn's disease (i.e., regional enteritis), familial adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease, ulcerative colitis, abnormal finding of gastrointestinal tract, or changes in bowel habits
TAGS: patients screening greater lower colonoscopy history lynch cancer inflammatory disease changes familial reason underwent abnormal regional hereditary adenomatous years medical colorectal bowel gastrointestinal finding deficiency habits ulcerative equal valid syndromeShort Description | >=86y no hx colo ca/rsn scop |
HCPCS Action Code | N - No maintenance for this code |
HCPCS Coverage Code | C - Carrier judgment |
HCPCS Code Added Date | January 01, 2016 |
HCPCS Action Effective Date | January 01, 2021 |
HCPCS Pricing Indicator Code | 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) |
HCPCS Type Of Service Code | 1 - Medical care |
HCPCS Multiple Pricing Indicator Code | 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') |
HCPCS Anesthesia Base Unit Quantity | 0 |
HCPCS Coverage Issues Manual Reference Section Number |
Check Similar HCPCS Codes
- G9412 - Admit w/in 180d req surg rev
- G9413 - No admit req surg rev
- G9414 - 1dose menig vac btwn 11 & 13
- G9415 - No 1dose meni vac btwn 11&13
- G9416 - Pt 1 tdap betw 10-13 yrs
- G9417 - Pt not 1 tdap betw 10-13 yrs
- G9418 - Lungcx bx rpt docs class
- G9419 - Med reas not incl histo type
- G9420 - Spec site no lung
- G9421 - Lung cx bx rpt no doc class
- G9422 - Rpt doc class histo type
- G9423 - Med reas rpt no histo type
- G9424 - Site no lung or lung cx
- G9425 - Spec rpt no doc class histo
- G9426 - Impr med time edarr pain med
- G9427 - No impro med time pain med
- G9428 - Patho rpt incl pt ctg
- G9429 - Doc med rsn no pt cat
- G9430 - Spec site no cutaneous
- G9431 - Patho rpt no pt ctg