Q0519 HCPCS Level II code: Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 30-days

CMS terminated Q0519: its last date of service was Dec 31, 2024. It stays here for looking up older claims; newer services need a current code.

Official description

Q0519

Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 30-days

Short description: Supply fee hiv prep inj 30

HCPCS · United States

Notes for Q0519

As CMS prints them, with any note Q0519 takes from the headings above it.

Note

  • CMS processing note 0129: MMA section 303(e).

Medicare details

The indicators CMS publishes with Q0519 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Special coverage instructions apply
Medicare pricing
DMEPOS fee schedule – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
Type of service
Other medical items or services
BETOS category
Other drugs
Coverage statute
1861(ddd)
Added
Sep 15, 2024
Terminated after
Dec 31, 2024

Where Q0519 sits

  1. 1Q codesTemporary codes
  2. 2Terminated Q0519Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 30-days

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

Is HCPCS code Q0519 still valid?

No. CMS terminated Q0519; its last date of service was Dec 31, 2024. It is listed for looking up services from before then. Use a current code for newer services.

Does Medicare cover Q0519?

CMS lists Q0519’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)”. 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.