G9650 HCPCS Level II Code: 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…
Medicare Coverage & Payment
- CMS short descriptor: Doc pt no ther chg or contra
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Z2 — Undefined codes
- Last CMS action effective: January 1, 2017
- Terminated: December 31, 2016
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.
Code Set: Removed from the code set — not valid on or after January 1, 2017.
Contextual Map
Every relationship of G9650 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)
- G9630 — Patient did not sustain a bowel injury at the time of surgery nor discovered subsequently up to 30 days post-surgery[Sibling]
- G9631 — Patient sustained ureter injury at the time of surgery or discovered subsequently up to 30 days post-surgery[Sibling]
- G9632 — Documented medical reasons for not reporting ureter injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of ureter injury)[Sibling]
- G9633 — Patient did not sustain ureter injury at the time of surgery nor discovered subsequently up to 30 days post-surgery[Sibling]
- G9634 — Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improved[Sibling]
- G9635 — Health-related quality of life not assessed with tool for documented reason(s) (e.g., patient has a cognitive or neuropsychiatric impairment that impairs his/her ability to complete the hrqol survey, patient has the inability to read and/or write in order to complete the hrqol questionnaire)[Sibling]
- G9636 — Health-related quality of life not assessed with tool during at least two visits or quality of life score declined[Sibling]
- G9637 — Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)[Sibling]
- and 32 more
Change history (2)
- January 1, 2017 — Removed from the code set [Change history]
- and 1 more
Sources for this page
Every coding fact on this page is read from the datasets below. Nothing is AI-generated; MedCoder-derived relationships and editorial are labelled where they appear.
- Code, descriptors, coverage and pricing attributes
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update
- Change history and date-of-service validity
- CMS HCPCS quarterly update files, ingested into the change ledger
- Comparisons, relationships and the contextual map MedCoder-derived
- Derived by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Change history
- January 1, 2017Removed from the code setDocumentation 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
- January 1, 2016Added to the code setDocumentation 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
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9650 in its code family, with their registry titles.
- 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…
- 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…
- 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