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G9862 Doc rsn no 10 yr follow

G Codes

Also known as: documented reason no 10-year follow-up, colonoscopy follow-up rationale

Healthcare quality measure documenting medical reason or clinical rationale for not providing colonoscopy with 10-year follow-up interval.

In Plain Language

reason for not recommending next colonoscopy; screening interval documented

Clinical Context

Quality measure used in colorectal cancer screening programs to document clinical reasons why colonoscopy was not recommended at 10-year intervals for average-risk patients.

RVU Information

CPT G9862 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

GastroenterologyPreventive MedicineQuality Reporting

Frequently Asked Questions

What is CPT code G9862?

CPT G9862 (Doc rsn no 10 yr follow) is a G Codes code. Healthcare quality measure documenting medical reason or clinical rationale for not providing colonoscopy with 10-year follow-up interval.

Who uses CPT code G9862?

CPT G9862 is used by Gastroenterology, Preventive Medicine, Quality Reporting. Quality measure used in colorectal cancer screening programs to document clinical reasons why colonoscopy was not recommended at 10-year intervals for average-risk patients.

When is CPT G9862 used?

Quality measure used in colorectal cancer screening programs to document clinical reasons why colonoscopy was not recommended at 10-year intervals for average-risk patients.

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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.