G0106 HCPCS code: Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema
G0106 is the HCPCS Level II code for colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema. CMS terminated G0106 on 2024-12-31; do not bill it for later dates of service. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met.
Code details
| Field | Value |
|---|---|
| Section | G codes — Procedures and professional services (temporary) |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 11 — Priced using national relative value units (Physician Fee Schedule) |
| BETOS category | I1D |
| Added | 1998-01-01 |
| Last action effective | 2025-01-01 |
| Terminated | 2024-12-31 |
What changed for G0106
- 1998-01-01: G0106 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code G0106?
G0106 is the HCPCS Level II code for colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema. Short descriptor: "Colon ca screen;barium enema".
Does Medicare cover G0106?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Related G01 codes
- G0101 — Cervical or vaginal cancer screening; pelvic and clinical breast examination
- G0102 — Prostate cancer screening; digital rectal examination
- G0103 — Prostate cancer screening; prostate specific antigen test (PSA)
- G0104 — Colorectal cancer screening; flexible sigmoidoscopy
- G0105 — Colorectal cancer screening; colonoscopy on individual at high risk
- G0108 — Diabetes outpatient self-management training services, individual, per 30 minutes
- G0109 — Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes
- G0117 — Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist
- G0118 — Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist
- G0120 — Colorectal cancer screening; alternative to g0105, screening colonoscopy, barium enema.
- G0121 — Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
- G0122 — Colorectal cancer screening; barium enema
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Next steps
- Run a reimbursement report for a device billed under G0106
- Watch G0106 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0106
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.