HCPCS Code G9243

Documentation of viral load less than 200 copies/ml
Code effective Jan 01, 2014

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9243 is a valid 2026 HCPCS code meaning Documentation of viral load less than 200 copies/ml or (Doc viral load <200) for short. HCPCS G9243 has been effective since 01/01/2014 and applies to Medical care.


HCPCS Code Details - G9243

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9243
Description

Long description:
Documentation of viral load less than 200 copies/ml

Short description:
Doc viral load <200

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
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, 2014
Date added Added Jan 01, 2014

See also

  • HCPCS G9242 · Documentation of viral load equal to or greater than 200 copies/ml or viral load not performed

  • HCPCS G9244 · Antiretroviral thereapy not prescribed

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.