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G0012 Injection of hiv prep drug

G Codes

Also known as: PrEP injection, HIV prevention injection, cabotegravir injection

Injection of human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) medication such as cabotegravir for HIV prevention in at-risk individuals.

In Plain Language

HIV prevention injection; preventive HIV medication

Clinical Context

Used for administration of injectable long-acting antiretroviral pre-exposure prophylaxis medications for HIV prevention in individuals at substantial risk of acquisition.

RVU Breakdown

Work RVU0.17
Total RVU0.17

Est. Medicare Payment

$5.68

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 0.17, this code ranks in the 5th percentile among G Codes codes — 5.7x below the median (0.97). The highest wRVU in this category is 20.41.

Specialties

Preventive MedicinePrimary CareInfectious Disease

Frequently Asked Questions

What is CPT code G0012?

CPT G0012 (Injection of hiv prep drug) is a G Codes code. Injection of human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) medication such as cabotegravir for HIV prevention in at-risk individuals.

Who uses CPT code G0012?

CPT G0012 is used by Preventive Medicine, Primary Care, Infectious Disease. Used for administration of injectable long-acting antiretroviral pre-exposure prophylaxis medications for HIV prevention in individuals at substantial risk of acquisition.

When is CPT G0012 used?

Used for administration of injectable long-acting antiretroviral pre-exposure prophylaxis medications for HIV prevention in individuals at substantial risk of 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.