G9654 HCPCS Level II code: Monitored anesthesia care (mac)

G9654 is the HCPCS code for “Monitored anesthesia care (mac)” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

G9654

Monitored anesthesia care (mac)

Short description: Mon anesth care

HCPCS · United States

Medicare details

The indicators CMS publishes with G9654 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

Where G9654 sits

  1. 1G codesProcedures and professional services
  2. 2Active code G9654Monitored anesthesia care (mac)

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

What does HCPCS code G9654 mean?

G9654 is the HCPCS code for “Monitored anesthesia care (mac)” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover G9654?

CMS lists G9654’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.

G9648Patients 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 monthsG9653Patient has not been treated with a systemic or biologic medication for psoriasis for at least six monthsG9655A 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…G9660Documentation of medical reason(s) for a colonoscopy performed on a patient greater than or equal to 86 years of age (e.g., iron deficiency anemia, lower gastrointestinal…