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G9220

No order for pjp for medrsn

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 above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)

Code system
HCPCS Level II
Status
Retired 2015-01-01
Billable
No
In effect from
2014-01-01

This code is no longer in use: it was retired on 2015-01-01. No replacement code is listed here.

Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G9220 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G9220",
    "parent": null,
    "status": "retired",
    "system": "hcpcs",
    "display": "No order for pjp for medrsn",
    "billable": false,
    "attributes": {
      "betos": "M5B",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "00",
      "action_effective_date": "2015-01-01"
    },
    "description": "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 above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)",
    "replaced_by": [],
    "effective_end": "2015-01-01",
    "effective_start": "2014-01-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G9220 in the HCPCS file

betos
M5B
coverage
C
action code
N
type of service
1
pricing indicator
00
action effective date
2015-01-01

Change history

Lifecycle

G9220 has been in effect since 2014-01-01 and was retired on 2015-01-01. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up G9220 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G9220 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G9220. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.