HCPCS codes / G / G9220
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)
- Code type
- HCPCS Level II
- Coverage
- Carrier judgment
- BETOS category
- M5B
- Pricing indicator
- 00
- Effective date
- 20150101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.