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G0011

Hiv prep counsel, md 15-30m

Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp) to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2024-01-02
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G0011 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G0011",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Hiv prep counsel, md 15-30m",
    "billable": true,
    "attributes": {
      "betos": "P5E",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "13",
      "action_effective_date": "2024-01-02"
    },
    "description": "Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp) to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2024-01-02",
    "care_categories": [
      "hiv"
    ],
    "care_category_details": [
      {
        "slug": "hiv",
        "name": "HIV",
        "confidence": 0.95,
        "derivation": "source_stated",
        "evidence": [
          {
            "url": "https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update",
            "anchor": "HCPCS Level II range G0011-G0013"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G0011 in the HCPCS file

betos
P5E
coverage
C
action code
N
type of service
1
pricing indicator
13
action effective date
2024-01-02

Change history

Lifecycle

G0011 has been in effect since 2024-01-02. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up G0011 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G0011 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G0011. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.