MCMCB Pro
G9655

G9655A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used

HCPCSActiveBETOS Z2

G9655 is a HCPCS Level II code for a transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.

Medicare coverage: Carrier judgment

Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.

Physician fee schedule statusM

Measurement code. Used for reporting purposes only; never paid.

Global period: XXX

Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.

The CMS record for G9655

Long descriptor
A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used

The official wording. This is what the code means.

Short descriptor
Toc tool incl key elem

CMS's 28-character form, which is what shows up on a remittance advice.

Added
January 1, 2016

When CMS introduced the code.

BETOS
Z2

Berenson-Eggers Type of Service — CMS's own analytic grouping.

Pricing indicator
00 — Not priced by Part B

Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.

Codes adjacent to G9655

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9655 is not quite right, the correct code is very often within a few positions of it.

  • G9647Patients in whom mrs score could not be obtained at 90 day follow-upterminated
  • G9648Patients with 90 day mrs score greater than 2
  • G9649Psoriasis 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 dermatology life quality index) (dlqi))
  • 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) in order to achieve better disease control as measured by pga, bsa, pasi, or dlqiterminated
  • 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 index (pasi) and/or dermatology life quality index) (dlqi)) or psoriasis assessment tool not documented
  • G9652Patient has been treated with a systemic or biologic medication for psoriasis for at least six monthsterminated
  • G9653Patient has not been treated with a systemic or biologic medication for psoriasis for at least six monthsterminated
  • G9654Monitored anesthesia care (mac)
  • G9656Patient transferred directly from anesthetizing location to pacu or other non-icu location
  • G9657Transfer of care during an anesthetic or to the intensive care unitterminated
  • G9658A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used
  • G9659Patients 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 colonoscopy, including: iron deficiency anemia, lower gastrointestinal bleeding, familial adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits
  • 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 bleeding, familial history of adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits)
  • G9661Patients greater than or equal to 86 years of age who received a colonoscopy for an assessment of signs/symptoms of gi tract illness, and/or because the patient meets high risk criteria, and/or to follow-up on previously diagnosed advanced lesions
  • G9662Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure
  • G9663Any ldl-c laboratory result >= 190 mg/dl

Questions about G9655

What is HCPCS code G9655?

G9655 is a HCPCS Level II code for a transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used. It sits in the Procedures and Professional Services (Temporary) section.

Does Medicare cover G9655?

The CMS HCPCS file marks G9655 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

How is G9655 paid under the physician fee schedule?

G9655 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.

HCPCS Level II2026Q3-Jul· effective July 1, 2026