HCPCS Code G0011

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
Short DescriptionHiv prep counsel, md 15-30m
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective DateJanuary 02, 2024
Code Added DateJanuary 02, 2024
Pricing Indicator13 = Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
Type of Service1 = Medical care