G0121 HCPCS Level II code: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

G0121 is the HCPCS code for “Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

G0121

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Short description: Colon ca scrn not hi rsk ind

HCPCS · United States

Notes for G0121

As CMS prints them, with any note G0121 takes from the headings above it.

Note

  • CMS processing note 0064: COVERAGE AND PAYMENT BASED ON BALANCED BUDGET ACT OF 1997 (G0101 - SEC 4102; G0104, G0105, G0106, G0107, G0120, G0121, G0122, G0128 - SEC 4104).

Medicare details

The indicators CMS publishes with G0121 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Special coverage instructions apply
Medicare pricing
Physician fee schedule – Price established using national RVUs
ASC
Approved for ambulatory surgical centers
Type of service
Surgery
BETOS category
Endoscopy - colonoscopy
Added
Jan 1, 1998

Where G0121 sits

  1. 1G codesProcedures and professional services
  2. 2Active code G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Source and release

Data release
HCPCS Level II · October 2026
Effective date
Oct 1, 2026
Publisher
CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

Frequently asked questions

What does HCPCS code G0121 mean?

G0121 is the HCPCS code for “Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover G0121?

CMS lists G0121’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Physician fee schedule – Price established using national RVUs”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.