National Coverage Determination 210.15: PrEP for HIV Prevention

Related CR Release Date: December 5, 2024
MLN Matters Number: MM13843
Effective Date: September 30, 2024
Related Change Request (CR) Number: CR 13843
Implementation Date: April 7, 2025
Related CR Transmittal Number: R12987CP & R12987NCD

CR 13843 tells you about:

  • National coverage of Pre-exposure prophylaxis (PrEP) using FDA-approved antiretroviral drugs to prevent HIV
  • HCPCS and diagnosis codes
  • Billing and payment requirements

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13843.

Last Updated Dec 19 , 2024