Coding: Browse HCPCS Level II 2020 Edition

G0104

Colorectal cancer screening; flexible sigmoidoscopy

short

Ca screen;flexi sigmoidscope

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.84	0.66	4.03	0.11	1.61	4.98	000

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	2 Date of Service Edit: Policy	Anatomic Consideration
OPH	1.0	2 Date of Service Edit: Policy	Anatomic Consideration

G0105

Colorectal cancer screening; colonoscopy on individual at high risk

short

Colorectal scrn; hi risk ind

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	3.26	1.68	5.75	0.4	5.34	9.41	000
53.0	1.63	0.84	3.56	0.18	2.65	5.37	000

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	2 Date of Service Edit: Policy	Anatomic Consideration
OPH	1.0	2 Date of Service Edit: Policy	Anatomic Consideration

G0106

Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema

short

Colon ca screen;barium enema

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.99	4.91	4.91	0.06	5.96	5.96	XXX
TC	0.0	4.45	4.45	0.01	4.46	4.46	XXX
26.0	0.99	0.46	0.46	0.05	1.5	1.5	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	2 Date of Service Edit: Policy	Anatomic Consideration
OPH	1.0	2 Date of Service Edit: Policy	Anatomic Consideration