G0011 HCPCS - INDIVIDUAL COUNSELING FOR PRE-EXPOSURE PROPHYLAXIS (PREP) BY PHYSICIAN OR QUALIFIED HEALTH CARE PROFESSIONAL (QHP )TO PREVENT HUMAN IMMUNODEFICIENCY VIRUS (HIV), INCLUDES HIV RISK ASSESSMENT (INITIAL OR CONTINUED ASSESSMENT OF RISK), HIV RISK REDUCTION AND MEDICATION ADHERENCE, 15-30 MINUTES

Code Information

HCPCS Code: G0011
Sequence Number: 0010
Short Description: Hiv prep counsel, md 15-30m
Long Description: Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp )to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes
Date Added: 1/2/2024
Action Code: N - No maintenance for this code
Action Effective Date: 1/2/2024
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

Berenson-Eggers Type Of Service Code: P5E - Ambulatory procedures - other
Type Of Service Code:
- 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Pricing Indicator Code:
- 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: C - Carrier judgment

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G0011
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp )to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes
HCPCS Short Description	Hiv prep counsel, md 15-30m
HCPCS Pricing Indicator Code 1	13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Code	C - Carrier judgment
HCPCS Berenson-Eggers Type Of Service Code	P5E - Ambulatory procedures - other
HCPCS Type Of Service Code 1	1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/2/2024
HCPCS Action Effective Date	1/2/2024
HCPCS Action Code	N - No maintenance for this code