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G9094 Onc diagnosis rectal m1 with mets prog

G Codes

Also known as: metastatic rectal cancer, rectal cancer with mets, advanced rectal cancer

Oncology diagnosis for rectal cancer with distant metastasis documented and evidence of disease progression.

In Plain Language

rectal cancer that has spread to distant organs; advanced rectal cancer

Clinical Context

Quality reporting for patients with rectal cancer and documented evidence of distant organ involvement, typically managed with palliative or conversion chemotherapy.

RVU Information

CPT G9094 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.

Billing & Documentation

G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.

How This Code Compares

This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.

Specialties

Medical OncologyColorectal SurgeryPalliative Care

Frequently Asked Questions

What is CPT code G9094?

CPT G9094 (Onc diagnosis rectal m1 with mets prog) is a G Codes code. Oncology diagnosis for rectal cancer with distant metastasis documented and evidence of disease progression.

Who uses CPT code G9094?

CPT G9094 is used by Medical Oncology, Colorectal Surgery, Palliative Care. Quality reporting for patients with rectal cancer and documented evidence of distant organ involvement, typically managed with palliative or conversion chemotherapy.

When is CPT G9094 used?

Quality reporting for patients with rectal cancer and documented evidence of distant organ involvement, typically managed with palliative or conversion chemotherapy.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.