G0013 HCPCS - INDIVIDUAL COUNSELING FOR PRE-EXPOSURE PROPHYLAXIS (PREP) BY CLINICAL STAFF TO PREVENT HUMAN IMMUNODEFICIENCY VIRUS (HIV), INCLUDES: HIV RISK ASSESSMENT (INITIAL OR CONTINUED ASSESSMENT OF RISK), HIV RISK REDUCTION AND MEDICATION ADHERENCE

Code Information

HCPCS Code: G0013
Sequence Number: 0010
Short Description: Hiv prep counsel, clin staff
Long Description: Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv), includes: hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence
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	G0013
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 clinical staff to prevent human immunodeficiency virus (hiv), includes: hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence
HCPCS Short Description	Hiv prep counsel, clin staff
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