G9998 Doc medial rsn <3 colon
Also known as: colonoscopy exclusion, colorectal screening exclusion
Documentation of medical reason for not screening a patient for colorectal cancer as an exclusion criterion for quality measures.
In Plain Language
colon cancer screening not needed; doctor decided against colon screening
Clinical Context
Used to document medical contraindications or clinical reasons precluding colorectal cancer screening in patients who would otherwise be included in colorectal cancer screening quality measures.
RVU Information
CPT G9998 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
Frequently Asked Questions
What is CPT code G9998?
CPT G9998 (Doc medial rsn <3 colon) is a G Codes code. Documentation of medical reason for not screening a patient for colorectal cancer as an exclusion criterion for quality measures.
Who uses CPT code G9998?
CPT G9998 is used by Gastroenterology, Primary Care, Oncology. Used to document medical contraindications or clinical reasons precluding colorectal cancer screening in patients who would otherwise be included in colorectal cancer screening quality measures.
When is CPT G9998 used?
Used to document medical contraindications or clinical reasons precluding colorectal cancer screening in patients who would otherwise be included in colorectal cancer screening quality measures.
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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.