J0752 Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)
Short descriptor: Hiv prep, oral lenacapavir
Look up J0752 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
J0752 is the HCPCS Level II code for Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) (2026). It belongs to Section J — Drugs Administered Other Than Oral Method. Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Other carrier priced.
Classification & CMS Attributes
- Medicare Coverage
- Special coverage instructions apply (code D)
- Part B Pricing
- Other carrier priced (indicator 57)
- Type of Service
- Medical care
- Effective Date
- 2025-10-01
- 2026 Maintenance
- No change this year
Drug Details
- Drug / Substance
- lenacapavir, fda approved prescription, only for use as hiv pre-exposure prophylaxis
- Dose / Unit
- 300 mg
- Route
- Oral
See the full HCPCS Table of Drugs (J-codes).
References
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Reference J0752 with the canonical source and edition:
J0752 — Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv). ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/J0752
Canonical URL: https://icd10codingpro.com/hcpcs-codes/J0752