2024 HCPCS Code 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)

TAGS: indicating levels pneumocystis count patient pneumonia prophylaxis reason acceptable threshold prescribed medical above require below within range jiroveci months

Notice	HCPCS G9219 terminated on December 31, 2016.
Short Description	No oder pjp for med reason
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2017
HCPCS Code Added Date	January 01, 2014
HCPCS Pricing Indicator Code	00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
HCPCS Multiple Pricing Indicator 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')
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	1 - Medical care
HCPCS Anesthesia Base Unit Quantity	0

Check Similar HCPCS Codes

• G9200 - No reason for no vte
• G9201 - Vte given upon admission
• G9202 - Hep c aby pos
• G9203 - Hep c rna done prior to med
• G9204 - No reason for no hep c rna
• G9205 - Hep c antiviral started
• G9206 - Hep c therapy started
• G9207 - Hep c genotype prior to med
• G9208 - No reason for no hep c geno
• G9209 - Hep c rna 4to12 wk after med
• G9210 - No hepc rna after med docrsn
• G9211 - No hepc rna after med no rsn
• G9212 - Doc of dsm-iv init eval
• G9213 - No doc of dsm-iv
• G9214 - Cd4 count documented
• G9215 - No cd4 count no reason
• G9216 - No pcp proph at dx no reason
• G9217 - No pcp proph low cd4 norsn
• G9218 - No pcp prop low at cd4 norsn
• G9219 - No oder pjp for med reason