Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
J15 · Effective Oct 1, 2015
26 active Medicare policies list R19.09, 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
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
9 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 R19.09 |
|---|---|---|
| Cancer Antigen 125 Testing | Oct 1, 2026 | Covered |
| Cancer Antigen 19-9 Testing | Oct 1, 2026 | Covered |
| Carcinoembryonic Antigen Testing | Oct 1, 2026 | Covered |
| Human Chorionic Gonadotropin Testing | Apr 15, 2026 | Covered |
| Transrectal Ultrasonography | Apr 15, 2026 | Covered |
J15 · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
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 Mar 5, 2026
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
J5 · Effective Aug 1, 2026
| Policy | Effective | Status of R19.09 |
|---|
| Double Balloon Enteroscopy | Feb 20, 2024 | Covered |
|---|---|---|
| Intravascular Ultrasound | Nov 7, 2023 | Covered |
| Transvaginal Ultrasonography | Aug 8, 2023 | Covered |
| Tumor Markers | Mar 5, 2024 | Covered |