G9243 Doc viral load <200
Also known as: viral load suppressed, HIV RNA less than 200
Documentation of human immunodeficiency virus viral load less than 200 copies per milliliter (virally suppressed).
In Plain Language
HIV infection level controlled
Clinical Context
Quality measure documenting viral suppression in human immunodeficiency virus patient on antiretroviral therapy.
RVU Information
CPT G9243 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 G9243?
CPT G9243 (Doc viral load <200) is a G Codes code. Documentation of human immunodeficiency virus viral load less than 200 copies per milliliter (virally suppressed).
Who uses CPT code G9243?
CPT G9243 is used by Infectious Disease, HIV Specialty, Internal Medicine. Quality measure documenting viral suppression in human immunodeficiency virus patient on antiretroviral therapy.
When is CPT G9243 used?
Quality measure documenting viral suppression in human immunodeficiency virus patient on antiretroviral therapy.
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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.