G9223 Pjp proph ordered cd4 low
Also known as: PJP prophylaxis ordered, PCP prophylaxis low CD4
Pneumocystis jirovecii pneumonia prophylaxis ordered for human immunodeficiency virus patient with CD4 count less than 200 cells per microliter.
In Plain Language
HIV infection prevention of lung infection; AIDS prophylaxis
Clinical Context
Quality measure documenting appropriate opportunistic infection prophylaxis initiated when CD4 count drops below 200 in human immunodeficiency virus patients.
RVU Information
CPT G9223 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code G9223?
CPT G9223 (Pjp proph ordered cd4 low) is a G Codes code. Pneumocystis jirovecii pneumonia prophylaxis ordered for human immunodeficiency virus patient with CD4 count less than 200 cells per microliter.
Who uses CPT code G9223?
CPT G9223 is used by Infectious Disease, HIV Specialty, Internal Medicine. Quality measure documenting appropriate opportunistic infection prophylaxis initiated when CD4 count drops below 200 in human immunodeficiency virus patients.
When is CPT G9223 used?
Quality measure documenting appropriate opportunistic infection prophylaxis initiated when CD4 count drops below 200 in human immunodeficiency virus patients.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.