HCPCS Code J0752

Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)
Short DescriptionHiv prep, oral lenacapavir
Year2026
Coverage CodeD = Special coverage instructions apply
Action CodeA = Add procedure or modifier code
Action Effective DateOctober 01, 2025
Code Added DateOctober 01, 2025
Pricing Indicator57 = Other carrier priced
Type of Service1 = Medical care P = Lump sum purchase of DME, prosthetics, orthotics