Table of content for "Hiv prep, inj, cabotegravir" (HCPCS J0739)
General information on the “J0739” code
HCPCS Code: J0739
Long Description: Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)
Short Description: Hiv prep, inj, cabotegravir
Original information is taken from J0739 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: 20220701
Code Effective Date: 20240102
Action Code: N – No maintenance for this code