HCPCS G9246 Code. No enc or enc/vir ld 90days


Table of content for "No enc or enc/vir ld 90days" (HCPCS G9246)

General information on the “G9246” code

HCPCS Code: G9246
Long Description: 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
Short Description: No enc or enc/vir ld 90days

Original information is taken from G9246 page

Pricing indicators

Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code 9 : Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): M5B – Specialist - psychiatry
Type Of Service 1: 1 – Medical care

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20140101
Code Effective Date: 20250101
Action Code: C – Change in long description of procedure or modifier code