J0799 Hiv prep, fda approved, noc
Also known as: HIV PrEP NOC, other approved PrEP
Pre-exposure prophylaxis for Human Immunodeficiency Virus, Food and Drug Administration approved formulation, not otherwise classified for all other qualifying agents.
In Plain Language
Other approved HIV prevention medicine
Clinical Context
Used as a placeholder code for emerging or newly approved Human Immunodeficiency Virus pre-exposure prophylaxis agents not yet assigned specific codes.
RVU Information
CPT J0799 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J0799?
CPT J0799 (Hiv prep, fda approved, noc) is a J Codes (Drugs) code. Pre-exposure prophylaxis for Human Immunodeficiency Virus, Food and Drug Administration approved formulation, not otherwise classified for all other qualifying agents.
How is J0799 administered?
CPT J0799 is administered by a healthcare provider, typically via injection or infusion. Used as a placeholder code for emerging or newly approved Human Immunodeficiency Virus pre-exposure prophylaxis agents not yet assigned specific codes. It is used by Infectious Disease, Public Health.
When is CPT J0799 used?
Used as a placeholder code for emerging or newly approved Human Immunodeficiency Virus pre-exposure prophylaxis agents not yet assigned specific codes.
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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.