HCPCS Code G9247

Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart
Code effective Jan 01, 2025

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9247 is a valid 2026 HCPCS code meaning Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart or (2 enc enc/vir ld 90d) for short. HCPCS G9247 has been effective since 01/01/2025 and applies to Medical care.

HCPCS Code Details - G9247

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9247
Description

Long description:
Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart

Short description:
2 enc enc/vir ld 90d

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, 2025
Date added Added Jan 01, 2014

See also

  • HCPCS G9246 · Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart

  • HCPCS G9248 · Patient did not have a medical visit in the last 6 months

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.