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Code deleted, see Q0521.

Official Description

Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 30-days
Short Descr Supply fee hiv prep oral 30
Coverage Special coverage instructions apply
Pricing Indicator(s) 46 – Supplies And Surgical Dressings - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
MPI A – Not applicable, as HCPCS priced under one methodology
MCM 2049
Statute 1861(ddd)
Processing Note MMA section 303(e).
BETOS O1E – Other drugs
TOS Code(s) 9 – Other medical items or services
Added Date 1/2/2024
Action Code D – Discontinue procedure or modifier code (effective 1/1/2025)
Termination Date 12/31/2024
Status Code Statutory Exclusion (from MPFS, may be paid under other methodologies)
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x)
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2026-01-01 Deleted First appearance of deletion in codebook.
2025-01-01 Changed First appearance of change in codebook even though code is deleted.
2024-12-31 Deleted Code deleted, see Q0521.
2024-09-15 Changed Code changed. Change in long and short description.
2024-01-02 Added Code added.
Code
Description
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