G9213 – Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9213
- Long description
- Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified
- Short description
- No doc of dsm-iv
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
M5BSpecialist - psychiatry- Added
- January 1, 2014
- Last change
- January 1, 2014 – No change
Frequently asked questions
What is HCPCS code G9213?
G9213 is a HCPCS Level II code for dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified.
Does Medicare cover G9213?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby G codes
- G9205 – Patient starting antiviral treatmentfor hepatitis c during the measurement period
- G9206 – Patient starting antiviral treatment for hepatitis c during the measurement period
- G9207 – Hepatitis c genotype testing documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c
- G9208 – Hepatitis c genotype testing was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given
- G9209 – Hepatitis c quantitative rna testing documented as performed between 4-12 weeks after the initiation of antiviral treatment
- G9210 – Hepatitis c quantitative rna testing not performed between 4-12 weeks after the initiation of antiviral treatment for documented reason(s) (e.g., patients whose treatment was discontinued during the testing period prior to testing, other medical reasons, patient declined, other patient reasons)
- G9211 – Hepatitis c quantitative rna testing was not documented as performed between 4-12 weeks after the initiation of antiviral treatment, reason not given
- G9212 – Dsm-ivtm criteria for major depressive disorder documented at the initial evaluation
- G9214 – Cd4+ cell count or cd4+ cell percentage results documented
- G9215 – Cd4+ cell count or percentage not documented as performed, reason not given
- G9216 – Pcp prophylaxis was not prescribed at time of diagnosis of hiv, reason not given
- G9217 – Pcp prophylaxis was not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3, reason not given
- G9218 – Pcp prophylaxis was not prescribed within 3 months oflow cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%, reason not given
- G9219 – Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3 for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)
- G9220 – Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15% for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)
- G9221 – Pneumocystis jiroveci pneumonia prophlaxis prescribed
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.