G0012 Injection of hiv prep drug
What G0012 is
Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle
HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.
Medicare payment for G0012 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.17 | 0.28 | 0.01 | 0.46 | $15.36 |
| Facility (hospital, ASC) | 0.17 | 0.28 | 0.01 | 0.46 | $15.36 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
NCCI edits
No active practitioner PTP edit in the 2026 Q4 table lists this code as a column 1 or column 2 code. Check a specific pair in the NCCI pair checker.
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.