HCPCS Code G9359

Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier
Code effective Jan 01, 2023

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9359 is a valid 2026 HCPCS code meaning Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier or (Neg mgd pos tb notact) for short. HCPCS G9359 has been effective since 01/01/2023 and applies to Medical care.


HCPCS Code Details - G9359

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9359
Description

Long description:
Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier

Short description:
Neg mgd pos tb notact

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, 2023
Date added Added Jan 01, 2014
Termination date Dec 31, 2022

See also

  • HCPCS G9358 · Post-partum screenings, evaluations and education not performed

  • HCPCS G9360 · No documentation of negative or managed positive tb screen

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 7/13/2026

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