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G9998

Doc med rsn <3 colon

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])

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2022-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G9998 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G9998",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Doc med rsn <3 colon",
    "billable": true,
    "attributes": {
      "betos": "Z2",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "00",
      "action_effective_date": "2024-01-01"
    },
    "description": "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])",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2022-01-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G9998 in the HCPCS file

betos
Z2
coverage
C
action code
N
type of service
1
pricing indicator
00
action effective date
2024-01-01

Change history

Lifecycle

G9998 has been in effect since 2022-01-01. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up G9998 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G9998 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G9998. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.