G0012 HCPCS Level II code: Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle
G0012 is the HCPCS code for “Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G0012Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle
Short description: Injection of hiv prep drug
HCPCS · United States
Medicare details
The indicators CMS publishes with G0012 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Physician fee schedule – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
- Type of service
- Medical care
- BETOS category
- Ambulatory procedures - other
- Added
- Jan 2, 2024
Where G0012 sits
- 1G codesProcedures and professional services
- 2Active code G0012Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code G0012 mean?
G0012 is the HCPCS code for “Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G0012?
CMS lists G0012’s Medicare coverage as “Carrier judgment” and its pricing as “Physician fee schedule – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G0012
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