HITEQ Center / Friday, December 13, 2019 / Categories: Priority Topics, Ending the HIV Epidemic, HIV, PrEP Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and Other HIV Prevention Strategies: Billing and Coding Guide Developed by NASTAD, updated in 2023 Health departments and other medical providers are billing Medicaid, Medicare, and private insurers for services related to HIV prevention. The counseling services needed for the treatment and discussion of lab tests are intensive. This guide describes the procedure and diagnosis codes that are accepted by public and private insurance, along with specific requirements for some Current Procedural Terminology (CPT®) billing codes. It also describes some of the challenges in obtaining reimbursement for testing, counseling, linkage to care, and adherence services. The goal of this guide is to provide up-to-date information and best practices for coding, billing, and denial resolution for PrEP and PEP services. Health department staff are encouraged to share this resource with grantees, community partners, and other health care providers billing for HIV prevention services. Print 16373 Tags: GuideBillingcodingHIVPrEPEnding the HIV EpidemicHIV screeningHIV prevention Resource Links Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and Other HIV Prevention Strategies: Billing and Coding GuideUpdated in October of 2023 Related Resources Closing the PrEP Care Gap with TelePrEP HITEQ Highlights: PrEP Process Mapping Team Toolkit Demonstration PrEP Process Map Example Sensitive Information and the Electronic Patient Record Health IT Optimization for Effective PrEP Services