HCPCS Level II · Miscellaneous services (temporary codes)
Q0516Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 30-days
Terminated 12/31/2024
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About Q0516
Q0516 is an HCPCS Level II code in the Q series (miscellaneous services (temporary codes)), describing pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 30-days.
It was added to HCPCS effective 01/02/2024, and its current record took effect 01/01/2025.
It was terminated on 12/31/2024 and can't be billed for later dates of service.
Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.
Details
- Short description
- Supply fee hiv prep oral 30
- Date added
- 01/02/2024
- Action effective
- 01/01/2025
- Termination date
- 12/31/2024
- BETOS
- O1E
Related Q05xx codes
- Q0500Filters for use with electric or electric/pneumatic ventricular assist device, replacement only
- Q0501Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only
- Q0502Mobility cart for pneumatic ventricular assist device, replacement only
- Q0503Battery for pneumatic ventricular assist device, replacement only, each
- Q0504Power adapter for pneumatic ventricular assist device, replacement only, vehicle type
- Q0506Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only
- Q0507Miscellaneous supply or accessory for use with an external ventricular assist device
- Q0508Miscellaneous supply or accessory for use with an implanted ventricular assist device
- Q0509Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a
- Q0510Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant
- Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period
- Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period
Common questions about Q0516
Is HCPCS Q0516 still valid?
- No. Q0516 was terminated on 12/31/2024.
Does Medicare cover Q0516?
- Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.