Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
J15 · Effective Oct 1, 2015
8 active Medicare policies list Q43.1, and 4 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
National · Effective Jan 22, 2026
National · Effective Oct 1, 2025
National · Effective Oct 1, 2026
4 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of Q43.1 |
|---|---|---|
| Botulinum Toxin | Jan 1, 2024 | Covered |
| Gastrointestinal Function: Selected Tests | Aug 30, 2023 | Covered |
| In Vivo Analysis of Gastro-Intestinal and Urothelial Lesions | Oct 17, 2023 | Covered |
| RET Proto-Oncogene Testing | May 8, 2023 | Covered |