G0011 Hiv prep counsel, md 15-30m
Also known as: HIV prevention counseling, pre-exposure prophylaxis counseling, PrEP counseling
Human immunodeficiency virus (HIV) prevention counseling provided by a physician lasting 15 to 30 minutes, including discussion of transmission risk and prevention strategies.
In Plain Language
HIV prevention education; risk reduction counseling
Clinical Context
Used for structured physician-provided counseling on HIV prevention, risk assessment, and pre-exposure prophylaxis for individuals at risk of HIV acquisition.
RVU Breakdown
| Work RVU | 0.45 |
| Total RVU | 0.45 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
With a work RVU of 0.45, this code ranks in the 24th percentile among G Codes codes — 2.2x below the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0011?
CPT G0011 (Hiv prep counsel, md 15-30m) is a G Codes code. Human immunodeficiency virus (HIV) prevention counseling provided by a physician lasting 15 to 30 minutes, including discussion of transmission risk and prevention strategies.
Who uses CPT code G0011?
CPT G0011 is used by Preventive Medicine, Primary Care, Sexual Health. Used for structured physician-provided counseling on HIV prevention, risk assessment, and pre-exposure prophylaxis for individuals at risk of HIV acquisition.
When is CPT G0011 used?
Used for structured physician-provided counseling on HIV prevention, risk assessment, and pre-exposure prophylaxis for individuals at risk of HIV acquisition.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.