2017 HCPCS Codes > G Codes >

G9220

Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15% for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)

  • Effective Date: 2014-01-01
  • Termination Date: 2014-12-31
  • Medicare Coverage Status: Carrier Judgement
  • BETOS Classification: Specialist - psychiatry

Medicare has not assigned a fee schedule for this code

G9219       G9221