G9053 HCPCS Level II Code: Oncology; primary focus of visit; expectant management of patient with evidence of cancer for whom no cancer directed therapy is being administered or arranged at present; cancer directed therapy…
Medicare Coverage & Payment
- CMS short descriptor: Onc expectant management pt
- Medicare coverage: Not payable by Medicare (CMS coverage code I)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: P7B — Oncology - other
- Last CMS action effective: January 1, 2007
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Contextual Map
Every relationship of G9053 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- G9009 — Coordinated care fee, risk adjusted maintenance, level 3[Sibling]— CMS HCPCS Level II code set
- G9010 — Coordinated care fee, risk adjusted maintenance, level 4[Sibling]— CMS HCPCS Level II code set
- G9011 — Coordinated care fee, risk adjusted maintenance, level 5[Sibling]— CMS HCPCS Level II code set
- G9012 — Other specified case management service not elsewhere classified[Sibling]— CMS HCPCS Level II code set
- G9013 — Esrd demo basic bundle level i[Sibling]— CMS HCPCS Level II code set
- G9014 — Esrd demo expanded bundle including venous access and related services[Sibling]— CMS HCPCS Level II code set
- G9016 — Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only][Sibling]— CMS HCPCS Level II code set
- G9017 — Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2006 — Added to the code set [Change history]— CMS release files (code change ledger)
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- January 1, 2006Added to the code setOncology; primary focus of visit; expectant management of patient with evidence of cancer for whom no cancer directed therapy is being administered or arranged at present; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project)
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9053 in its code family, with their registry titles.
- G9037 — Interprofessional telephone/internet/electronic health record clinical question/request for specialty recommendations by a treating/requesting physician or other qualified health care professional…
- G9038 — Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care planning; condition for…
- G9050 — Oncology; primary focus of visit; work-up, evaluation, or staging at the time of cancer diagnosis or recurrence (for use in a medicare-approved demonstration project)
- G9051 — Oncology; primary focus of visit; treatment decision-making after disease is staged or restaged, discussion of treatment options, supervising/coordinating active cancer directed therapy or managing…
- G9052 — Oncology; primary focus of visit; surveillance for disease recurrence for patient who has completed definitive cancer-directed therapy and currently lacks evidence of recurrent disease; cancer…
- G9054 — Oncology; primary focus of visit; supervising, coordinating or managing care of patient with terminal cancer or for whom other medical illness prevents further cancer treatment; includes symptom…
- G9055 — Oncology; primary focus of visit; other, unspecified service not otherwise listed (for use in a medicare-approved demonstration project)
- G9056 — Oncology; practice guidelines; management adheres to guidelines (for use in a medicare-approved demonstration project)
- G9057 — Oncology; practice guidelines; management differs from guidelines as a result of patient enrollment in an institutional review board approved clinical trial (for use in a medicare-approved…
- G9058 — Oncology; practice guidelines; management differs from guidelines because the treating physician disagrees with guideline recommendations (for use in a medicare-approved demonstration project)