HCPCS Code G0011

Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp) to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes
Code effective Jan 02, 2024

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G0011 is a valid 2026 HCPCS code meaning Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp) to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes or (Hiv prep counsel, md 15-30m) for short. HCPCS G0011 has been effective since 01/02/2024 and applies to Medical care.

HCPCS Code Details - G0011

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G0011
Description

Long description:
Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp) to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes

Short description:
Hiv prep counsel, md 15-30m

HCPCS Pricing indicator 13 - Clinical Lab Fee Schedule - Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code P5E - Ambulatory procedures - other
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 02, 2024
Date added Added Jan 02, 2024

See also

  • HCPCS G0010 · Administration of hepatitis b vaccine

  • HCPCS G0013 · Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv), includes: hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence

  • HCPCS G0012 · Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.