Table of content for "Supply fee hiv prep oral 30" (HCPCS Q0516)
General information on the “Q0516” code
HCPCS Code: Q0516
Long Description: Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 30-days
Short Description: Supply fee hiv prep oral 30
Original information is taken from Q0516 page
Pricing indicators
Pricing Indicator Code 1: 46 – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
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
Processing Note Number: 0129
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 9 – Other medical items or services
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20240102
Code Effective Date: 20250101
Termination Date: 20241231
Action Code: D – Discontinue procedure or modifier code