Pcp prophylaxis was not prescribed at time of diagnosis of hiv, reason not given
Code effective Jan 01, 2015
HCPCS Section
Procedures/Professional Services (Temporary Codes)
G9216 is a valid 2026 HCPCS code meaning Pcp prophylaxis was not prescribed at time of diagnosis of hiv, reason not given or (No pcp proph at dx no reason) for short. HCPCS G9216 has been effective since 01/01/2015 and applies to Medical care.
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HCPCS Level II Code Section G - Procedures/Professional Services (Temporary Codes) |
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| HCPCS Code | G9216 |
|---|---|
| Description |
Long description:
Short description: |
| HCPCS Pricing indicator |
00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
|
| Multiple pricing indicator |
9 - Not applicable as HCPCS not priced separately by part B or value is not established
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| Coverage code | C - Carrier judgment |
| BETOS2 code | M5B - Specialist - psychiatry |
| HCPCS Action code | N - No maintenance for this code |
| Type of service | 1 - Medical care |
| Effective date | Effective Jan 01, 2015 |
| Date added | Added Jan 01, 2014 |
| Termination date | Dec 31, 2014 |
1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).
2 BETOS stands for “Berenson-Eggers Type Of Service”
HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026
CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.