HCPCS Code Q0518

Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 90-days
Code effective Jan 01, 2025

HCPCS Section
Miscellaneous Services (Temporary Codes)

Q0518 is a valid 2026 HCPCS code meaning Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 90-days or (Supply fee hiv prep oral 90) for short. HCPCS Q0518 has been effective since 01/01/2025 and applies to Other medical items or services.

HCPCS Code Details - Q0518

HCPCS Level II Code
Section Q - Miscellaneous Services (Temporary Codes)
HCPCS Code Q0518
Description

Long description:
Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 90-days

Short description:
Supply fee hiv prep oral 90

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 N - No maintenance for this code
Type of service 9 - Other medical items or services
Effective date Effective Jan 01, 2025
Date added Added Jan 02, 2024
Termination date Dec 31, 2024

See also

  • HCPCS Q0516 · Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 30-days

  • HCPCS Q0517 · Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 60-days

  • HCPCS Q0519 · Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 30-days

  • HCPCS Q0520 · Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 60-days

  • HCPCS Q0521 · Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription

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.