G9659 HCPCS - 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

Code Information

HCPCS Code: G9659
Sequence Number: 0010
Short Description: >=86y no hx colo ca/rsn scop
Long Description: 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
Date Added: 1/1/2016
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2021
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

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

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

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G9659
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	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
HCPCS Short Description	>=86y no hx colo ca/rsn scop
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	1/1/2021
HCPCS Action Code	N - No maintenance for this code