US · guidance
CMS Pub. 100-04, ch. 4, § 320.1
HCPCS Coding for OIVIT
HCPCS code G9147, effective with the April IOCE and MPFSDB updates, is to be used
on claims with dates of service on and after December 23, 2009, billing for non-covered
OIVIT and any services comprising an OIVIT regimen.
NOTE: HCPCS codes 99199 or 94681(with or without diabetes related conditions
250.00-250.93) are not to be used on claims billing for non-covered OIVIT and any
services comprising an OIVIT regimen when furnished pursuant to an OIVIT regimen.
Claims billing for HCPCS codes 99199 and 94681 for non-covered OIVIT are to be
returned to provider/returned as unprocessable.
History
(Rev. 1930, Issued: 03-09-10, Effective Date: 12-23-09; Implementation Date: 04- 05-10)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
bdcabaf07b53b0a9c300d286c8fdae5b674e1163c0623d4dbd3360392028fcdd
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