G9650 – Documentation that the patient declined therapy change or has documented contraindications (e.g., experienced adverse effects or lack of efficacy with all other therapy options) in order to achieve better disease control as measured by pga, bsa, pasi, or dlqi
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9650
- Long description
- Documentation that the patient declined therapy change or has documented contraindications (e.g., experienced adverse effects or lack of efficacy with all other therapy options) in order to achieve better disease control as measured by pga, bsa, pasi, or dlqi
- Short description
- Doc pt no ther chg or contra
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
Z2Undefined codes- Added
- January 1, 2016
- Last change
- January 1, 2017 – No change
- Termination date
- December 31, 2016
Frequently asked questions
What is HCPCS code G9650?
G9650 is a HCPCS Level II code for documentation that the patient declined therapy change or has documented contraindications (e.g., experienced adverse effects or lack of efficacy with all other therapy options) in order to achieve better disease control as measured by pga, bsa, pasi, or dlqi. It was discontinued on December 31, 2016.
Does Medicare cover G9650?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby G codes
- G9642 – Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana)
- G9643 – Elective surgery
- G9644 – Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure
- G9645 – Patients who did not abstain from smoking prior to anesthesia on the day of surgery or procedure
- G9646 – Patients with 90 day mrs score of 0 to 2
- G9647 – Patients in whom mrs score could not be obtained at 90 day follow-up
- G9648 – Patients with 90 day mrs score greater than 2
- G9649 – Psoriasis assessment tool documented meeting any one of the specified benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa), psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi))
- G9651 – Psoriasis assessment tool documented not meeting any one of the specified benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa), psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi)) or psoriasis assessment tool not documented
- G9652 – Patient has been treated with a systemic or biologic medication for psoriasis for at least six months
- G9653 – Patient has not been treated with a systemic or biologic medication for psoriasis for at least six months
- G9654 – Monitored anesthesia care (mac)
- G9655 – A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used
- G9656 – Patient transferred directly from anesthetizing location to pacu or other non-icu location
- G9657 – Transfer of care during an anesthetic or to the intensive care unit
- G9658 – A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.