J0739 HCPCS Level II code: Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)

J0739 is the HCPCS code for “Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

J0739

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

Short description: Hiv prep, inj, cabotegravir

HCPCS · United States

Medicare details

The indicators CMS publishes with J0739 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Special coverage instructions apply
Medicare pricing
Other carrier priced
ASC
Approved for ambulatory surgical centers
Type of service
Medical care
BETOS category
Other drugs
Coverage statute
1861(ddd)
Added
Jul 1, 2022

Where J0739 sits

  1. 1J codesDrugs administered other than orally
  2. 2Active code J0739Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)

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 J0739 mean?

J0739 is the HCPCS code for “Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover J0739?

CMS lists J0739’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Other carrier priced”. 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.