4280F Pcp prophylax rxd 3mon low %
Also known as: PCP prophylaxis documentation, pneumocystis prophylaxis measure
Performance measure documenting that pneumocystis pneumonia (PCP) prophylaxis was recommended for three months in patients with low CD4 counts or previous Pneumocystis infection.
In Plain Language
documentation of pneumonia prevention in immunocompromised patients
Clinical Context
Quality measure used in Human Immunodeficiency Virus (HIV) care to ensure appropriate prevention of opportunistic infections. Reported for patients with CD4 counts below 200 cells per microliter or history of PCP.
RVU Information
CPT 4280F does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
Documentation should include the clinical indication, service details, and any applicable performance metrics. Coverage may vary by payer — verify acceptance before billing.
Specialties
Frequently Asked Questions
What is CPT code 4280F?
CPT 4280F (Pcp prophylax rxd 3mon low %) is a Other code. Performance measure documenting that pneumocystis pneumonia (PCP) prophylaxis was recommended for three months in patients with low CD4 counts or previous Pneumocystis infection.
Who uses CPT code 4280F?
CPT 4280F is used by Infectious Disease, Internal Medicine. Quality measure used in Human Immunodeficiency Virus (HIV) care to ensure appropriate prevention of opportunistic infections. Reported for patients with CD4 counts below 200 cells per microliter or history of PCP.
When is CPT 4280F used?
Quality measure used in Human Immunodeficiency Virus (HIV) care to ensure appropriate prevention of opportunistic infections. Reported for patients with CD4 counts below 200 cells per microliter or history of PCP.
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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.