HCPCS code Q0521 — Supply fee hiv prep fda appr.
Status: Active.
Effective Jan 1, 2025.
Source: CMS HCPCS Level II.
Q0521
ActiveSupply fee hiv prep fda appr
Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription
Category:
Temporary
Section:
Q-codes: Temporary Codes
Effective:
Jan 1, 2025
Code type:
alphanumeric
OPPS Status:
M
— Items / services not billable to the fiscal intermediary or MAC
MUE — Medically Unlikely Edits
Maximum units of Q0521 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 |
|---|---|
| DME Supplier | 1 |
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
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.
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New Code 2025-Q1Supply fee hiv prep fda appr