G9765 HCPCS Level II Code: Documentation that the patient declined change in medication or alternative therapies were unavailable, has documented contraindications, or has not been treated with a systemic medication for at…
Medicare Coverage & Payment
- CMS short descriptor: Doc pat declined therapy
- 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, 2019
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 G9765 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)
- G9745 — Documented reason for not screening or recommending a follow-up for high blood pressure[Sibling]— CMS HCPCS Level II code set
- G9746 — Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery)[Sibling]— CMS HCPCS Level II code set
- G9747 — Patient is undergoing palliative dialysis with a catheter[Sibling]— CMS HCPCS Level II code set
- G9748 — Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant[Sibling]— CMS HCPCS Level II code set
- G9749 — Patient is undergoing palliative dialysis with a catheter[Sibling]— CMS HCPCS Level II code set
- G9750 — Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant[Sibling]— CMS HCPCS Level II code set
- G9751 — Patient died at any time during the 24-month measurement period[Sibling]— CMS HCPCS Level II code set
- G9752 — Emergency surgery[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2017 — 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, 2017Added to the code setDocumentation that the patient declined change in medication or alternative therapies were unavailable, has documented contraindications, or has not been treated with a systemic medication for at least six consecutive months (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 G9765 in its code family, with their registry titles.
- G9760 — Patients who use hospice services any time during the measurement period
- G9761 — Patients who use hospice services any time during the measurement period
- G9762 — Patient had at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays
- G9763 — Patient did not have at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays
- G9764 — Patient has been treated with a systemic medication for psoriasis vulgaris
- G9766 — Patients who are transferred from one institution to another with a known diagnosis of cva for endovascular stroke treatment
- G9767 — Hospitalized patients with newly diagnosed cva considered for endovascular stroke treatment
- G9768 — Patients who utilize hospice services any time during the measurement period
- G9769 — Patient had a bone mineral density test in the past two years or received osteoporosis medication or therapy in the past 12 months
- G9770 — Peripheral nerve block (pnb)