Q0517 HCPCS - PHARMACY SUPPLYING FEE FOR HIV PRE-EXPOSURE PROPHYLAXIS FDA APPROVED PRESCRIPTION DRUG, PER 60-DAYS

Code Information

HCPCS Code: Q0517
Sequence Number: 0010
Short Description: Supply fee hiv prep 60-days
Long Description: Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 60-days
Date Added: 1/2/2024
Action Code: N - No maintenance for this code
Action Effective Date: 1/2/2024
Classification: Temporary Codes
Coding System: HCPCS

Pricing Indicator Code:
- 46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
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:
- 2049
Coverage Code: D - Special coverage instructions apply

Field Name	Field Value
Healthcare Common Procedure Coding System Code	Q0517
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	Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 60-days
HCPCS Short Description	Supply fee hiv prep 60-days
HCPCS Pricing Indicator Code 1	46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Medicare Carriers Manual Reference Section Number 1	2049
HCPCS Statute Number	1861(ddd)
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Processing Note Number	0129
HCPCS Berenson-Eggers Type Of Service Code	O1E - Other drugs
HCPCS Type Of Service Code 1	9 - Other medical items or services
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