2025 HCPCS Code J0752

Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)

TAGS: treatment prophylaxis approved
Short DescriptionHiv prep, oral lenacapavir
HCPCS Action Code A - Add procedure or modifier code
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS Code Added Date October 01, 2025
HCPCS Action Effective Date October 01, 2025
HCPCS Pricing Indicator Code 57 - Other carrier priced
HCPCS Type Of Service Code 1 - Medical care
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number

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