Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
J15 · Effective Oct 1, 2015
15 active Medicare policies list K58.9, and 9 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J15 · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
JH · Effective Mar 21, 2021
JL · Effective Mar 21, 2021
J15 · Effective Oct 1, 2015
J9 · Effective Feb 4, 2026
9 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of K58.9 |
|---|---|---|
| Acupuncture and Dry Needling | Apr 5, 2023 | Covered |
| Analysis of Volatile Organic Compounds | Oct 3, 2023 | Covered |
| Autonomic Testing / Sudomotor Tests | Jul 13, 2023 | Covered |
| Exhaled Breath Tests | Sep 15, 2023 | Covered |
| In Vivo Analysis of Gastro-Intestinal and Urothelial Lesions | Oct 17, 2023 | Covered |
| Inflammatory Disease: Biomarker and Thiopurine Pharmacogenomic Testing | Apr 26, 2023 | Covered |
National · Effective Jan 22, 2026
National · Effective Oct 1, 2025
National · Effective Oct 1, 2026
JL · Effective Feb 4, 2026
National · Effective Mar 5, 2026
| Policy | Effective | Status of K58.9 |
|---|---|---|
| Fecal Analysis Panels in the Diagnosis of Intestinal Disorders | Jul 1, 2026 | Not covered |
| Selected Blood, Serum and Cellular Allergy and Toxicity Tests | Jul 1, 2026 | Not covered |
| Policy | Effective | Status of K58.9 |
|---|---|---|
| Fecal Calprotectin Testing | Mar 15, 2026 | Covered |