Table of content for "Hiv prep, ftc/tdf 200/300mg" (HCPCS J0750)
General information on the “J0750” code
HCPCS Code: J0750
Long Description: Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)
Short Description: Hiv prep, ftc/tdf 200/300mg
Original information is taken from J0750 page
Pricing indicators
Pricing Indicator Code 1: 57 – Other carrier priced
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Statute Number: 1861(ddd)
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20240102
Code Effective Date: 20240102
Action Code: N – No maintenance for this code