G9661 HCPCS Level II Code: Patients greater than or equal to 86 years of age who received a colonoscopy for an assessment of signs/symptoms of gi tract illness, and/or because the patient meets high risk criteria, and/or to…
Medicare Coverage & Payment
- CMS short descriptor: Pt >= 86 w/ hi risk
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Z2 — Undefined codes
- Last CMS action effective: January 1, 2021
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Contextual Map
Every relationship of G9661 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- G9641 — Major amputation or open surgical bypass required within 48 hours of the index endovascular lower extremity revascularization procedure[Sibling]— CMS HCPCS Level II code set
- G9642 — Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana)[Sibling]— CMS HCPCS Level II code set
- G9643 — Elective surgery[Sibling]— CMS HCPCS Level II code set
- G9644 — Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure[Sibling]— CMS HCPCS Level II code set
- G9645 — Patients who did not abstain from smoking prior to anesthesia on the day of surgery or procedure[Sibling]— CMS HCPCS Level II code set
- G9646 — Patients with 90 day mrs score of 0 to 2[Sibling]— CMS HCPCS Level II code set
- G9647 — Patients in whom mrs score could not be obtained at 90 day follow-up[Sibling]— CMS HCPCS Level II code set
- G9648 — Patients with 90 day mrs score greater than 2[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2016 — Added to the code set [Change history]— CMS release files (code change ledger)
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- January 1, 2016Added to the code setPatients greater than or equal to 86 years of age who received a colonoscopy for an assessment of signs/symptoms of gi tract illness, and/or because the patient meets high risk criteria, and/or to follow-up on previously diagnosed advanced lesions
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9661 in its code family, with their registry titles.
- G9656 — Patient transferred directly from anesthetizing location to pacu or other non-icu location
- G9657 — Transfer of care during an anesthetic or to the intensive care unit
- G9658 — A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used
- G9659 — Patients greater than or equal to 86 years of age who underwent a screening colonoscopy and did not have a history of colorectal cancer or other valid medical reason for the colonoscopy, including:…
- G9660 — Documentation of medical reason(s) for a colonoscopy performed on a patient greater than or equal to 86 years of age (e.g., iron deficiency anemia, lower gastrointestinal bleeding, familial history…
- G9662 — Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure
- G9663 — Any ldl-c laboratory result >= 190 mg/dl
- G9664 — Patients who are currently statin therapy users or received an order (prescription) for statin therapy
- G9665 — Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy
- G9666 — Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl