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HCPCS Codes Similar to G9659

HCPCS Codes Similar to “G9659” Code.
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, familial adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits

G9660
Documentation of medical reason(s) for a colonoscopy performed on a patient greater than or equal to 86 years of age (e.g., iron deficiency anemia, lower gastrointestinal bleeding, familial history of adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits)
Code added date: 20160101
Code effective date: 20250101
S3833
Complete apc gene sequence analysis for susceptibility to familial adenomatous polyposis (fap) and attenuated fap
Code added date: 20030401
Code effective date: 20140101
S3834
Single-mutation analysis (in individual with a known apc mutation in the family) for susceptibility to familial adenomatous polyposis (fap) and attenuated fap
Code added date: 20030401
Code effective date: 20140101
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])
Code added date: 20220101
Code effective date: 20240101
M1182
Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g., ulcerative colitis, crohn's disease)
Code added date: 20230101
Code effective date: 20230101
G9661
Patients greater than or equal to 86 years of age who received a colonoscopy for an assessment of signs/symptoms of gi tract illness, and/or because the patient meets high risk criteria, and/or to follow-up on previously diagnosed advanced lesions
Code added date: 20160101
Code effective date: 20210101
M1467
Patients with an existing diagnosis of lynch syndrome
Code added date: 20260101
Code effective date: 20260101
G9277
Documentation that the patient is on daily aspirin or anti-platelet or has documentation of a valid contraindication or exception to aspirin/anti-platelet; contraindications/exceptions include anti-coagulant use, allergy to aspirin or anti-platelets, history of gastrointestinal bleed and bleeding disorder; additionally, the following exceptions documented by the physician as a reason for not taking daily aspirin or anti-platelet are acceptable (use of non-steroidal anti-inflammatory agents, documented risk for drug interaction, uncontrolled hypertension defined as >180 systolic or >110 diastolic or gastroesophageal reflux)
Code added date: 20140101
Code effective date: 20160101
Q0138
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)
Code added date: 20100101
Code effective date: 20100101
Q0139
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis)
Code added date: 20100101
Code effective date: 20170101
G9536
Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e., patient has an abnormal neurological examination; patient has the coexistence of seizures, or both; recent onset of severe headache; change in the type of headache; signs of increased intracranial pressure (e.g., papilledema, absent venous pulsations on funduscopic examination, altered mental status, focal neurologic deficits, signs of meningeal irritation); hiv-positive patients with a new type of headache; immunocompromised patient with unexplained headache symptoms; patient on coagulopathy/anti-coagulation or anti-platelet therapy; very young patients with unexplained headache symptoms)
Code added date: 20160101
Code effective date: 20190101
G2189
Patients with clinical indications for imaging of the head: abnormal neurologic exam
Code added date: 20210101
Code effective date: 20210101
G9391
Patient achieves refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit
Code added date: 20150101
Code effective date: 20160101
G9392
Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit
Code added date: 20150101
Code effective date: 20160101