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HCPCS Level II · Procedures and professional services (temporary)

G9998Documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, piecemeal removal of adenomas, or sessile serrated polyps >= 20 mm in size, last colonoscopy found greater than 10 adenomas, lower gastrointestinal bleeding, or patient at high risk for colon cancer due to underlying medical history ([i.e. crohn's disease, ulcerative colitis, personal or family history of colon cancer, hereditary colorectal cancer syndromes])

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

About G9998

G9998 is an HCPCS Level II code in the G series (procedures and professional services (temporary)), describing documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, piecemeal removal of adenomas, or sessile serrated polyps >= 20 mm in size, last colonoscopy found greater than 10 adenomas, lower gastrointestinal bleeding, or patient at high risk for colon cancer due to underlying medical history ([i.e. crohn's disease, ulcerative colitis, personal or family history of colon cancer, hereditary colorectal cancer syndromes]).

It was added to HCPCS effective 01/01/2022, and its current record took effect 01/01/2024.

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

Details

Short description
Doc med rsn <3 colon
Date added
01/01/2022
Action effective
01/01/2024
BETOS
Z2

Related G99xx codes

Common questions about G9998

Is HCPCS G9998 still valid?

Yes. G9998 is active in the CMS October 2026 HCPCS file.

Does Medicare cover G9998?

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