# HCPCS G0121

> Medicare paid $345.65 for HCPCS G0121 in the office (non-facility) setting and $184.01 in a facility under the Q2 2023 Physician Fee Schedule, effective April 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2023, when it decreased 3.3%.

## What it is

A screening colonoscopy for a beneficiary who is not at high risk for colorectal cancer. Medicare distinguishes screening colonoscopy from diagnostic colonoscopy for coverage and cost-sharing purposes.

## Selected release

- Release: Q2 2023 (2023 B)
- Effective: April 1 – June 30, 2023
- Status indicator: A
- Office (non-facility) national allowed amount: $345.65
- Facility national allowed amount: $184.01
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.26
- Office (non-facility) practice expense RVU: 6.51
- Facility practice expense RVU: 1.74
- Malpractice RVU: 0.43
- Conversion factor: 33.8872
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2023)
- CMS file: https://www.cms.gov/files/zip/rvu23b-updated-02/27/2023.zip
- Parsed file: PPRRVU23_APR.csv, row 1,718
- Canonical page: https://localishealth.com/hcpcs/G0121/2023/A
- Release-specific citation URL: https://localishealth.com/hcpcs/G0121/2023/B
- Last significant update: 2026-08-04T03:12:43+00:00