G9660 HCPCS - DOCUMENTATION OF MEDICAL REASON(S) FOR A COLONOSCOPY PERFORMED ON A PATIENT GREATER THAN 85 YEARS OF AGE (E.G., LAST COLONOSCOPY INCOMPLETE, LAST COLONOSCOPY HAD INADEQUATE PREP, IRON DEFICIENCY ANEMIA, LOWER GASTROINTESTINAL BLEEDING, CROHN'S DISEASE (I.E., REGIONAL ENTERITIS), FAMILIAL HISTORY OF 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)

Code Information

HCPCS Code: G9660

Sequence Number: 0010

Short Description: Doc med rsn scope pt >85y

Long Description: Documentation of medical reason(s) for a colonoscopy performed on a patient greater than 85 years of age (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, iron deficiency anemia, lower gastrointestinal bleeding, crohn's disease (i.e., regional enteritis), familial history of 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)

Code Added Date: 1/1/2016

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2016

Classification: Temporary Procedures & Professional Services

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: Z2 - Undefined codes
Type Of Service Code:
  • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

Pricing Indicator Code:
  • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
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')
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G9660
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Documentation of medical reason(s) for a colonoscopy performed on a patient greater than 85 years of age (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, iron deficiency anemia, lower gastrointestinal bleeding, crohn's disease (i.e., regional enteritis), familial history of 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)
      HCPCS Short Description Doc med rsn scope pt >85y
      HCPCS Pricing Indicator Code 1 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
      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 Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code Z2 - Undefined codes
      HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2016
      HCPCS Action Effective Date 1/1/2016
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 1/1/2018