G9221 HCPCS Level II Code: Pneumocystis jiroveci pneumonia prophlaxis prescribed
Medicare Coverage & Payment
- CMS short descriptor: Pjp proph prescribed
- 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, 2015
- Terminated: December 31, 2014
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, 2015.
Contextual Map
Every relationship of G9221 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)
- 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
- G9204 — 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[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, 2015 — 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, 2015Removed from the code setPneumocystis jiroveci pneumonia prophlaxis prescribed
- January 1, 2014Added to the code setPneumocystis jiroveci pneumonia prophlaxis prescribed
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9221 in its code family, with their registry titles.
- 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…
- 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…
- G9222 — Pneumocystis jiroveci pneumonia prophylaxis prescribed wthin 3 months of low cd4+ cell count below 200 cells/mm3
- G9223 — Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%
- G9224 — Documentation of medical reason for not performing foot exam (e.g., patient with bilateral foot/leg amputation)
- G9225 — Foot exam was not performed, reason not given
- G9226 — Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick…