HCPCS code J0739 — Hiv prep, inj, cabotegravir. Status: Active. Effective Jan 2, 2025. Source: CMS HCPCS Level II.

J0739

Active

Hiv prep, inj, cabotegravir

Injection, cabotegravir, 1mg, 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: Jan 2, 2025
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 0805

MUE — Medically Unlikely Edits

Maximum units of J0739 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 600
Practitioner Services 600

Source: CMS Medicare NCCI Medically Unlikely Edits

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-Q1
    Hiv prep, inj, cabotegravir
  • Revised 2024-Q1
    Injection, cabotegravir 1 mg
    Hiv prep, inj, cabotegravir