HCPCS code G9246 — No enc or enc/vir ld 90days. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

G9246

Active

No enc or enc/vir ld 90days

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

Category: Procedures
Section: G-codes: Procedures / Professional Services
Effective: Jan 1, 2025
Code type: alphanumeric
OPPS Status: M — Items / services not billable to the fiscal intermediary or MAC

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • Revised 2025-Q1
    No med visit in 24mo
    No enc or enc/vir ld 90days
  • New Code 2025-Q1
    No enc or enc/vir ld 90days