G9653 HCPCS Level II code: Patient has not been treated with a systemic or biologic medication for psoriasis for at least six months
CMS terminated G9653: its last date of service was Dec 31, 2016. It stays here for looking up older claims; newer services need a current code.
Official description
G9653Patient has not been treated with a systemic or biologic medication for psoriasis for at least six months
Short description: Pt no tx sys bio rx 6 mths
HCPCS · United States
Medicare details
The indicators CMS publishes with G9653 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care
- BETOS category
- Undefined codes
- Added
- Jan 1, 2016
- Terminated after
- Dec 31, 2016
Where G9653 sits
- 1G codesProcedures and professional services
- 2Terminated G9653Patient has not been treated with a systemic or biologic medication for psoriasis for at least six months
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
Is HCPCS code G9653 still valid?
No. CMS terminated G9653; its last date of service was Dec 31, 2016. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G9653?
CMS lists G9653’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G9653
All G codesG9647Patients in whom mrs score could not be obtained at 90 day follow-upG9648Patients with 90 day mrs score greater than 2G9649Psoriasis 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…G9650Documentation that the patient declined therapy change or has documented contraindications (e.g., experienced adverse effects or lack of efficacy with all other therapy options)…G9651Psoriasis 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…G9652Patient has been treated with a systemic or biologic medication for psoriasis for at least six monthsG9654Monitored anesthesia care (mac)G9655A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is usedG9656Patient transferred directly from anesthetizing location to pacu or other non-icu locationG9657Transfer of care during an anesthetic or to the intensive care unitG9658A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not usedG9659Patients greater than or equal to 86 years of age who underwent a screening colonoscopy and did not have a history of colorectal cancer or other valid medical reason for the…