G9245 – Antiretroviral therapy prescribed

Long description

Antiretroviral therapy prescribed

Short description

Antiviral ordered

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

M5B Specialist - psychiatry

Added

January 1, 2014

Last change

January 1, 2017 – No change

Termination date

December 31, 2016

Nearby G codes

• G9237 – I intend to report the general surgery measures group
• G9238 – I intend to report the optimizing patient exposure to ionizing radiation measures group
• G9239 – Documentation of reasons for patient initiating maintenance hemodialysis with a catheter as the mode of vascular access (e.g., patient has a maturing arteriovenous fistula (avf)/arteriovenous graft (avg), time-limited trial of hemodialysis, other medical reasons, patient declined avf/avg, other patient reasons, patient followed by reporting nephrologist for fewer than 90 days, other system reasons)
• G9240 – Patient whose mode of vascular access is a catheter at the time maintenance hemodialysis is initiated
• G9241 – Patient whose mode of vascular access is not a catheter at the time maintenance hemodialysis is initiated
• G9242 – Documentation of viral load equal to or greater than 200 copies/ml or viral load not performed
• G9243 – Documentation of viral load less than 200 copies/ml
• G9244 – Antiretroviral thereapy not prescribed
• 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
• 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
• G9248 – Patient did not have a medical visit in the last 6 months
• G9249 – Patient had a medical visit in the last 6 months
• G9250 – Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment
• G9251 – Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment
• G9252 – Adenoma(s) or other neoplasm detected during screening colonoscopy
• G9253 – Adenoma(s) or other neoplasm not detected during screening colonoscopy