G0012 HCPCS - INJECTION OF PRE-EXPOSURE PROPHYLAXIS (PREP) DRUG FOR HIV PREVENTION, UNDER SKIN OR INTO MUSCLE

Code Information

  • HCPCS Code: G0012
  • Sequence Number: 0010
  • Short Description: Injection of hiv prep drug
  • Long Description: Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle
  • 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

Code Type

  • 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

Billing Information

  • 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

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G0012
      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 Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle
      HCPCS Short Description Injection of hiv prep drug
      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

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      This page was last updated on: 7/1/2024