G9204 HCPCS Level II Code: Rna testing for hepatitis c was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given
Medicare Coverage & Payment
- CMS short descriptor: No reason for no hep c rna
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: M5B — Specialist - psychiatry
- Last CMS action effective: January 1, 2017
- Terminated: December 31, 2016
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Code Set: Removed from the code set — not valid on or after January 1, 2017.
Contextual Map
Every relationship of G9204 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- G9200 — Venous thromboembolism (vte) prophylaxis was not administered the day of or the day after hospital admission, reason not given[Sibling]— CMS HCPCS Level II code set
- G9201 — Venous thromboembolism (vte) prophylaxis administered the day of or the day after hospital admission[Sibling]— CMS HCPCS Level II code set
- G9202 — Patients with a positive hepatitis c antibody test[Sibling]— CMS HCPCS Level II code set
- G9203 — Rna testing for hepatitis c documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c[Sibling]— CMS HCPCS Level II code set
- G9205 — Patient starting antiviral treatmentfor hepatitis c during the measurement period[Sibling]— CMS HCPCS Level II code set
- G9206 — Patient starting antiviral treatment for hepatitis c during the measurement period[Sibling]— CMS HCPCS Level II code set
- G9207 — Hepatitis c genotype testing documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c[Sibling]— CMS HCPCS Level II code set
- 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[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history (2)
- January 1, 2017 — Removed from the code set [Change history]— CMS release files (code change ledger)
- and 1 more
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- January 1, 2017Removed from the code setRna testing for hepatitis c was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given
- January 1, 2014Added to the code setRna testing for hepatitis c was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9204 in its code family, with their registry titles.
- G9200 — Venous thromboembolism (vte) prophylaxis was not administered the day of or the day after hospital admission, reason not given
- G9201 — Venous thromboembolism (vte) prophylaxis administered the day of or the day after hospital admission
- G9202 — Patients with a positive hepatitis c antibody test
- G9203 — Rna testing for hepatitis c documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c
- 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…