HCPCS Code Details - J0799

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0799
Description

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

Short description:
Hiv prep, fda approved, noc

HCPCS Modifier1
HCPCS Pricing indicator 46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Statute number 1861(ddd)
Coverage code D - Special coverage instructions apply
BETOS2 code O1E - Other drugs
HCPCS Action code A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 02, 2024
Date added Added Jan 02, 2024
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS J0795 · Injection, corticorelin ovine triflutate, 1 microgram

  • HCPCS J0800 · Injection, corticotropin, up to 40 units


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”