Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
J15 · Effective Oct 1, 2015
29 active Medicare policies list R10.9, and 8 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
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
8 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 R10.9 |
|---|---|---|
| Botulinum Toxin | Jan 1, 2024 | Covered |
| Celiac Disease Laboratory Testing | Aug 9, 2023 | Covered |
| Cryoanalgesia and Therapeutic Cold | Mar 16, 2023 | Covered |
| Esophageal and Airway pH Monitoring | Sep 25, 2023 | Covered |
| Lead Testing | Aug 9, 2023 | Covered |
| Transvaginal Ultrasonography | Aug 8, 2023 | Covered |
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J6 · Effective May 1, 2017
JK · Effective May 1, 2017
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JJ · Effective Jan 25, 2016
JM · Effective Jan 25, 2016
National · Effective Jan 22, 2026
National · Effective Oct 1, 2025
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
J9 · Effective Oct 1, 2025
J9 · Effective Oct 1, 2025
National · Effective Oct 1, 2026
J6 · Effective Apr 1, 2026
National · Effective Oct 30, 2025
National · Effective Oct 1, 2025
National · Effective Oct 1, 2025
| Policy | Effective | Status of R10.9 |
|---|---|---|
| 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 |