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 pati
Short Description: No order for pjp for medrsn
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2014
Effective Date: January 1, 2015
Termination Date: December 31, 2014