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G9217 - No pcp proph low cd4 norsn

Navigation: HCPCS Codes > Codes with Prefix: G9
Field Value
HCPCS Code: G9217
Long Description: Pcp prophylaxis was not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3, reason not given
Short Description: No pcp proph low cd4 norsn
Pricing Indicator 1: 00 (Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.))
Multiple Pricing Code: 9 (Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is 99))
Statute Number:
Coverage Code: C (Carrier judgment)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: M5B (Specialist - psychiatry)
Type of Service Code 1: 1 (Medical care)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-2014
Action Effective Date: 01-01-2014
Action Code: A (Add procedure or modifier code)