J0799 – Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified

HCPCS Level II code · J codes: Drugs Administered Other Than Oral Method

Active code Special coverage instructions apply

HCPCS codeJ0799
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
Pricing indicator
46 Priced by carrier (not otherwise classified / individual determination)
Medicare coverage
D Special coverage instructions apply
BETOS category
O1E Other drugs
Added
January 2, 2024
Last change
January 2, 2024 – No change

Frequently asked questions

What is HCPCS code J0799?

J0799 is a HCPCS Level II code for fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified.

Does Medicare cover J0799?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby J codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.