G9242 Doc viral load >=200
Also known as: viral load high, HIV RNA greater than 200
Documentation of human immunodeficiency virus viral load greater than or equal to 200 copies per milliliter.
In Plain Language
HIV infection level high
Clinical Context
Quality measure documenting inadequate viral suppression in human immunodeficiency virus patient, indicating need for antiretroviral therapy optimization.
RVU Information
CPT G9242 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 G9242?
CPT G9242 (Doc viral load >=200) is a G Codes code. Documentation of human immunodeficiency virus viral load greater than or equal to 200 copies per milliliter.
Who uses CPT code G9242?
CPT G9242 is used by Infectious Disease, HIV Specialty, Internal Medicine. Quality measure documenting inadequate viral suppression in human immunodeficiency virus patient, indicating need for antiretroviral therapy optimization.
When is CPT G9242 used?
Quality measure documenting inadequate viral suppression in human immunodeficiency virus patient, indicating need for antiretroviral therapy optimization.
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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.