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Dx

HCPCS Level II · Procedures and professional services (temporary)

G9091Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t3, n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)

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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About G9091

G9091 is an HCPCS Level II code in the G series (procedures and professional services (temporary)), describing oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t3, n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project).

It was added to HCPCS effective 01/01/2006, and its current record took effect 01/01/2007.

Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.

Details

Short description
Onc dx rectal t3 n0 no prog
Date added
01/01/2006
Action effective
01/01/2007
BETOS
P7B

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Common questions about G9091

Is HCPCS G9091 still valid?

Yes. G9091 is active in the CMS October 2026 HCPCS file.

Does Medicare cover G9091?

Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.