G9999 – Documentation of system reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., unable to locate previous colonoscopy report, patient cannot provide precise date or details from previous colonoscopy, previous colonoscopy report was incomplete)

Long description

Documentation of system reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., unable to locate previous colonoscopy report, patient cannot provide precise date or details from previous colonoscopy, previous colonoscopy report was incomplete)

Short description

Doc sys rsn <3 colon

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

Z2 Undefined codes

Added

January 1, 2022

Last change

January 1, 2025 – No change

Nearby G codes

• G9991 – Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
• G9992 – Palliative care services used by patient any time during the measurement period
• G9993 – Patient was provided palliative care services any time during the measurement period
• G9994 – Patient is using palliative care services any time during the measurement period
• G9995 – Patients who use palliative care services any time during the measurement period
• G9996 – Documentation stating the patient has received or is currently receiving palliative or hospice care
• G9997 – Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter
• G9998 – 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])