The original site for PrEP consumers, frontline providers and clinicians

FROM

Subject: Insurance

ICD-10-PCS Codes (Inpatient and Hospital Billing Codes)

A list of all ICD-10-PCS codes used in inpatient and hospital settings in the U.S.

ICD-10-CM Codes (Outpatient and Clinical Billing Codes)

A list of all ICD-10-CM codes used in clinical and outpatient settings in the U.S.

Medical Coding Clinic, Clearinghouse, and Inquiries

A tool from Coding Clinic Advisor through which specific coding questions may be submitted.

ICD-10 Code Lookup Tool

A quick lookup tool from the Centers for Medicare & Medicaid for finding billing codes pertinent to PrEP coverage.

Billing Coding Guide for HIV Prevention: PrEP, Screening, and Linkage Services

A resource guide from NASTAD to assist in navigating billing and reimbursement for HIV prevention services.

State Level Department of Insurance Guide

Links to state-by-state Dept. of Insurance consumer complaint websites.

Covering Costs of PrEP Job Aid

Tips and Resources for Covering Costs of HIV PrEP from HealthHIV.

USPSTF – PrEP FAQs

Frequently Asked Questions (FAQs) regarding implementation of PrEP from USPSTF.

Patient Advocacy Toolkit

A guide for patients to ensure plans comply with USPSTF patient protections for PrEP.

Know Your Rights Handout

A guide for what patients need to know about new Federal Guidelines on Coverage of PrEP with No Cost-Sharing