HCPCS code J0738 — Hiv prep, inj, lenacapavir. Status: Active. Effective Oct 1, 2025. Source: CMS HCPCS Level II.

J0738

Active

Hiv prep, inj, lenacapavir

Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Oct 1, 2025
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 0880

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
61958-3402-01 Yeztugo

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2025-Q4
    Hiv prep, inj, lenacapavir