GI · CMS status A
G0105
Screening colonoscopy high risk
Colorectal cancer screening; colonoscopy on individual at high risk.
Work RVU
3.36
2026 Medicare pays
$287.92
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 3.36 + Practice 4.92 + Malpractice 0.34 = 8.62 total
Work (your effort)Practice expenseMalpractice
When to use it
Medicare high-risk screening colonoscopy.
Full guidance
Covered every 24 months.
Documentation checklist
- ✓High-risk indication (personal hx polyps/CRC, family hx, IBD).
- ✓Cecum reached, withdrawal time, prep quality.
Common pitfalls
- !If a polyp is removed, becomes diagnostic — bill 45385 with modifier PT.
Common modifiers
PT33
Common ICD-10 pairings
Z86.010Z80.0
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.