Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
JJ · Effective Oct 1, 2015
41 active Medicare policies list R10.0, and 15 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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JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
15 policies from 2 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of R10.0 |
|---|---|---|
| Botulinum Toxin | Jan 1, 2024 | Covered |
| Celiac Disease Laboratory Testing | Aug 9, 2023 | Covered |
| Chronic Pelvic Pain, Endometriosis, and Other Indications: Selected Treatments | Oct 5, 2023 | Covered |
| Esophageal and Airway pH Monitoring | Sep 25, 2023 | Covered |
| Gastrointestinal Function: Selected Tests | Aug 30, 2023 | Covered |
| Lead Testing | Aug 9, 2023 | Covered |
J9 · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J15 · Effective Apr 17, 2022
JE · Effective Apr 17, 2022
JF · Effective Apr 17, 2022
JJ · Effective Apr 17, 2022
JM · Effective Apr 17, 2022
J5 · Effective Apr 17, 2022
J8 · Effective Apr 17, 2022
J6 · Effective Aug 1, 2022
JK · Effective Aug 1, 2022
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J6 · Effective May 1, 2017
JK · Effective May 1, 2017
National · Effective Oct 1, 2025
National · Effective Oct 1, 2025
National · Effective Nov 1, 2025
National · Effective Nov 6, 2025
J9 · Effective Oct 1, 2025
J9 · Effective Oct 1, 2025
National · Effective Nov 6, 2025
National · Effective Mar 19, 2026
National · Effective Mar 19, 2026
National · Effective Apr 16, 2026
J5 · Effective Mar 12, 2026
J6 · Effective Jul 1, 2025
J5 · Effective Mar 26, 2026
J6 · Effective Oct 1, 2025
National · Effective Oct 30, 2025
| Selected Kidney Function Tests | Oct 11, 2023 | Covered |
|---|
| Transvaginal Ultrasonography | Aug 8, 2023 | Covered |
|---|
| Policy | Effective | Status of R10.0 |
|---|---|---|
| Cancer Antigen 125 Testing | Oct 1, 2026 | Covered |
| Cancer Antigen 19-9 Testing | Oct 1, 2026 | Covered |
| Carcinoembryonic Antigen Testing | Oct 1, 2026 | Covered |
| Gamma Glutamyl Transferase Testing | Jul 1, 2026 | Covered |
| Outpatient Urine Culture | Jan 6, 2026 | Covered |
| Selected Blood, Serum and Cellular Allergy and Toxicity Tests | Jul 1, 2026 | Not covered |
| Wireless Capsule Endoscopy for Gastrointestinal Imaging and the Patency Capsule | Oct 1, 2026 | Covered |