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HCPCS codes / G / G9219

G9219

Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3 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)

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
M5B
Pricing indicator
00
Effective date
20170101
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