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HCPCS Level II · Procedures and professional services (temporary)

G9496Documentation of reason for not detecting adenoma(s) or other neoplasm. (e.g., neoplasm detected is only diagnosed as traditional serrated adenoma, sessile serrated polyp, or sessile serrated adenoma

Terminated 12/31/2017

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

About G9496

G9496 is an HCPCS Level II code in the G series (procedures and professional services (temporary)), describing documentation of reason for not detecting adenoma(s) or other neoplasm. (e.g., neoplasm detected is only diagnosed as traditional serrated adenoma, sessile serrated polyp, or sessile serrated adenoma.

It was added to HCPCS effective 01/01/2016, and its current record took effect 01/01/2018.

It was terminated on 12/31/2017 and can't be billed for later dates of service.

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

Details

Short description
Doc rsn no adeno/neopl detec
Date added
01/01/2016
Action effective
01/01/2018
Termination date
12/31/2017
BETOS
Z2

Related G94xx codes

Common questions about G9496

Is HCPCS G9496 still valid?

No. G9496 was terminated on 12/31/2017.

Does Medicare cover G9496?

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