HCPCS Code Details - Q0516

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q0516
Description

Long description:
Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 30-days

Short description:
Supply fee hiv prep 30-days

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 9 - Other medical items or services
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 Q0515 · Injection, sermorelin acetate, 1 microgram

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

  • HCPCS Q0518 · Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 90-days


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”