J0799 Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified

Short descriptor: Hiv prep, fda approved, noc

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J0799 is the HCPCS Level II code for Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified (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: Carrier priced.

Classification & CMS Attributes

Medicare Coverage
Special coverage instructions apply (code D)
Part B Pricing
Carrier priced (indicator 46)
Type of Service
Medical care
Effective Date
2024-01-02
2026 Maintenance
No change this year

Drug Details

Drug / Substance
Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis, not otherwise classified

See the full HCPCS Table of Drugs (J-codes).

References

Cite This Page

Reference J0799 with the canonical source and edition:

J0799 — Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/J0799

Canonical URL: https://icd10codingpro.com/hcpcs-codes/J0799

Related Codes in Section J

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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