2018 HCPCS Codes > G Codes >


Documentation that the patient declined therapy change or alternative therapies were unavailable, has documented contraindications, or has not been treated with an oral systemic or biologic 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

  • 2018 Status Change: Change in long description of procedure or modifier code
  • Effective Date: 2017-01-01
  • Medicare Coverage Status: Carrier Judgement
  • BETOS Classification: Undefined codes

Medicare has not assigned a fee schedule for this code

G9764       G9766