HCPCS codes:J

• J0120 - Injection, tetracycline, up to 250 mg.
• J0129 - Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered).
• J0130 - Injection abciximab, 10 mg.
• J0131 - Injection, acetaminophen, 10 mg.
• J0132 - Injection, acetylcysteine, 100 mg.
• J0133 - Injection, acyclovir, 5 mg.
• J0135 - Injection, adalimumab, 20 mg.
• J0150 - Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270).
• J0151 - Injection, adenosine for diagnostic use, 1 mg (not to be used to report any adenosine phosphate compounds, instead use a9270).
• J0153 - Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds).
• J0171 - Injection, adrenalin, epinephrine, 0.1 mg.
• J0178 - Injection, aflibercept, 1 mg.
• J0180 - Injection, agalsidase beta, 1 mg.
• J0185 - Injection, aprepitant, 1 mg.
• J0190 - Injection, biperiden lactate, per 5 mg.
• J0200 - Injection, alatrofloxacin mesylate, 100 mg.
• J0202 - Injection, alemtuzumab, 1 mg.
• J0205 - Injection, alglucerase, per 10 units.
• J0207 - Injection, amifostine, 500 mg.
• J0210 - Injection, methyldopate hcl, up to 250 mg.
• J0215 - Injection, alefacept, 0.5 mg.
• J0220 - Injection, alglucosidase alfa, 10 mg, not otherwise specified.
• J0221 - Injection, alglucosidase alfa, (lumizyme), 10 mg.
• J0256 - Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg.
• J0257 - Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg.
• J0270 - Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered).
• J0275 - Alprostadil urethral suppository (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered).
• J0278 - Injection, amikacin sulfate, 100 mg.
• J0280 - Injection, aminophyllin, up to 250 mg.
• J0282 - Injection, amiodarone hydrochloride, 30 mg.
• J0285 - Injection, amphotericin b, 50 mg.
• J0287 - Injection, amphotericin b lipid complex, 10 mg.
• J0288 - Injection, amphotericin b cholesteryl sulfate complex, 10 mg.
• J0289 - Injection, amphotericin b liposome, 10 mg.
• J0290 - Injection, ampicillin sodium, 500 mg.
• J0295 - Injection, ampicillin sodium-sulbactam sodium, per 1.5 gm.
• J0300 - Injection, amobarbital, up to 125 mg.
• J0330 - Injection, succinylcholine chloride, up to 20 mg.
• J0348 - Injection, anidulafungin, 1 mg.
• J0350 - Injection, anistreplase, per 30 units.
• J0360 - Injection, hydralazine hcl, up to 20 mg.
• J0364 - Injection, apomorphine hydrochloride, 1 mg.
• J0365 - Injection, aprotonin, 10,000 kiu.
• J0380 - Injection, metaraminol bitartrate, per 10 mg.
• J0390 - Injection, chloroquine hydrochloride, up to 250 mg.
• J0395 - Injection, arbutamine hcl, 1 mg.
• J0400 - Injection, aripiprazole, intramuscular, 0.25 mg.
• J0401 - Injection, aripiprazole, extended release, 1 mg.
• J0456 - Injection, azithromycin, 500 mg.
• J0461 - Injection, atropine sulfate, 0.01 mg.
• J0470 - Injection, dimercaprol, per 100 mg.
• J0475 - Injection, baclofen, 10 mg.
• J0476 - Injection, baclofen, 50 mcg for intrathecal trial.
• J0480 - Injection, basiliximab, 20 mg.
• J0485 - Injection, belatacept, 1 mg.
• J0490 - Injection, belimumab, 10 mg.
• J0500 - Injection, dicyclomine hcl, up to 20 mg.
• J0515 - Injection, benztropine mesylate, per 1 mg.
• J0517 - Injection, benralizumab, 1 mg.
• J0520 - Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg.
• J0558 - Injection, penicillin g benzathine and penicillin g procaine, 100,000 units.
• J0561 - Injection, penicillin g benzathine, 100,000 units.
• J0565 - Injection, bezlotoxumab, 10 mg.
• J0567 - Injection, cerliponase alfa, 1 mg.
• J0570 - Buprenorphine implant, 74.2 mg.
• J0571 - Buprenorphine, oral, 1 mg.
• J0572 - Buprenorphine-naloxone, oral, less than or equal to 3 mg buprenorphine.
• J0573 - Buprenorphine-naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine.
• J0574 - Buprenorphine-naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine.
• J0575 - Buprenorphine-naloxone, oral, greater than 10 mg buprenorphine.
• J0583 - Injection, bivalirudin, 1 mg.
• J0584 - Injection, burosumab-twza 1 mg.
• J0585 - Injection, onabotulinumtoxina, 1 unit.
• J0586 - Injection, abobotulinumtoxina, 5 units.
• J0587 - Injection, rimabotulinumtoxinb, 100 units.
• J0588 - Injection, incobotulinumtoxin a, 1 unit.
• J0592 - Injection, buprenorphine hydrochloride, 0.1 mg.
• J0594 - injection, busulfan, 1 mg.
• J0595 - Injection, butorphanol tartrate, 1 mg.
• J0596 - Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units.
• J0597 - Injection, c-1 esterase inhibitor (human), berinert, 10 units.
• J0598 - Injection, c-1 esterase inhibitor (human), cinryze, 10 units.
• J0599 - Injection, c-1 esterase inhibitor (human), (haegarda), 10 units.
• J0600 - Injection, edetate calcium disodium, up to 1000 mg.
• J0604 - Cinacalcet, oral, 1 mg, (for esrd on dialysis).
• J0606 - Injection, etelcalcetide, 0.1 mg.
• J0610 - Injection, calcium gluconate, per 10 ml.
• J0620 - Injection, calcium glycerophosphate and calcium lactate, per 10 ml.
• J0630 - Injection, calcitonin salmon, up to 400 units.
• J0636 - Injection, calcitriol, 0.1 mcg.
• J0637 - Injection, caspofungin acetate, 5 mg.
• J0638 - Injection, canakinumab, 1 mg.
• J0640 - Injection, leucovorin calcium, per 50 mg.
• J0641 - Injection, levoleucovorin calcium, 0.5 mg.
• J0670 - Injection, mepivacaine hydrochloride, per 10 ml.
• J0690 - Injection, cefazolin sodium, 500 mg.
• J0692 - Injection, cefepime hydrochloride, 500 mg.
• J0694 - Injection, cefoxitin sodium, 1 gm.
• J0695 - Injection, ceftolozane 50 mg and tazobactam 25 mg.
• J0696 - Injection, ceftriaxone sodium, per 250 mg.
• J0697 - Injection, sterile cefuroxime sodium, per 750 mg.
• J0698 - Injection, cefotaxime sodium, per gm.
• J0702 - Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg.
• J0706 - Injection, caffeine citrate, 5 mg.
• J0710 - Injection, cephapirin sodium, up to 1 gm.
• J0712 - Injection, ceftaroline fosamil, 10 mg.
• J0713 - Injection, ceftazidime, per 500 mg.
• J0714 - Injection, ceftazidime and avibactam, 0.5 g-0.125 g.
• J0715 - Injection, ceftizoxime sodium, per 500 mg.
• J0716 - Injection, centruroides immune f(ab)2, up to 120 milligrams.
• J0717 - Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered).
• J0720 - Injection, chloramphenicol sodium succinate, up to 1 gm.
• J0725 - Injection, chorionic gonadotropin, per 1,000 usp units.
• J0735 - Injection, clonidine hydrochloride, 1 mg.
• J0740 - Injection, cidofovir, 375 mg.
• J0743 - Injection, cilastatin sodium; imipenem, per 250 mg.
• J0744 - Injection, ciprofloxacin for intravenous infusion, 200 mg.
• J0745 - Injection, codeine phosphate, per 30 mg.
• J0760 - Injection, colchicine, per 1 mg.
• J0770 - Injection, colistimethate sodium, up to 150 mg.
• J0775 - Injection, collagenase, clostridium histolyticum, 0.01 mg.
• J0780 - Injection, prochlorperazine, up to 10 mg.
• J0795 - Injection, corticorelin ovine triflutate, 1 microgram.
• J0800 - Injection, corticotropin, up to 40 units.
• J0833 - Injection, cosyntropin, not otherwise specified, 0.25 mg.
• J0834 - Injection, cosyntropin, 0.25 mg.
• J0840 - Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram.
• J0841 - Injection, crotalidae immune f(ab')2 (equine), 120 mg.
• J0850 - Injection, cytomegalovirus immune globulin intravenous (human), per vial.
• J0875 - Injection, dalbavancin, 5 mg.
• J0878 - Injection, daptomycin, 1 mg.
• J0881 - Injection, darbepoetin alfa, 1 microgram (non-esrd use).
• J0882 - Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis).
• J0883 - Injection, argatroban, 1 mg (for non-esrd use).
• J0884 - Injection, argatroban, 1 mg (for esrd on dialysis).
• J0885 - Injection, epoetin alfa, (for non-esrd use), 1000 units.
• J0886 - Injection, epoetin alfa, 1000 units (for esrd on dialysis).
• J0887 - Injection, epoetin beta, 1 microgram, (for esrd on dialysis).
• J0888 - Injection, epoetin beta, 1 microgram, (for non esrd use).
• J0890 - Injection, peginesatide, 0.1 mg (for esrd on dialysis).
• J0894 - Injection, decitabine, 1 mg.
• J0895 - Injection, deferoxamine mesylate, 500 mg.
• J0897 - Injection, denosumab, 1 mg.
• J0900 - Injection, testosterone enanthate and estradiol valerate, up to 1 cc.
• J0945 - Injection, brompheniramine maleate, per 10 mg.
• J1000 - Injection, depo-estradiol cypionate, up to 5 mg.
• J1020 - Injection, methylprednisolone acetate, 20 mg.
• J1030 - Injection, methylprednisolone acetate, 40 mg.
• J1040 - Injection, methylprednisolone acetate, 80 mg.
• J1050 - Injection, medroxyprogesterone acetate, 1 mg.
• J1060 - Injection, testosterone cypionate and estradiol cypionate, up to 1 ml.
• J1070 - Injection, testosterone cypionate, up to 100 mg.
• J1071 - Injection, testosterone cypionate, 1 mg.
• J1080 - Injection, testosterone cypionate, 1 cc, 200 mg.
• J1094 - Injection, dexamethasone acetate, 1 mg.
• J1100 - Injection, dexamethasone sodium phosphate, 1 mg.
• J1110 - Injection, dihydroergotamine mesylate, per 1 mg.
• J1120 - Injection, acetazolamide sodium, up to 500 mg.
• J1130 - Injection, diclofenac sodium, 0.5 mg.
• J1160 - Injection, digoxin, up to 0.5 mg.
• J1162 - Injection, digoxin immune fab (ovine), per vial.
• J1165 - Injection, phenytoin sodium, per 50 mg.
• J1170 - Injection, hydromorphone, up to 4 mg.
• J1180 - Injection, dyphylline, up to 500 mg.
• J1190 - Injection, dexrazoxane hydrochloride, per 250 mg.
• J1200 - Injection, diphenhydramine hcl, up to 50 mg.
• J1205 - Injection, chlorothiazide sodium, per 500 mg.
• J1212 - Injection, dmso, dimethyl sulfoxide, 50%, 50 ml.
• J1230 - Injection, methadone hcl, up to 10 mg.
• J1240 - Injection, dimenhydrinate, up to 50 mg.
• J1245 - Injection, dipyridamole, per 10 mg.
• J1250 - Injection, dobutamine hydrochloride, per 250 mg.
• J1260 - Injection, dolasetron mesylate, 10 mg.
• J1265 - Injection, dopamine hcl, 40 mg.
• J1267 - Injection, doripenem, 10 mg.
• J1270 - Injection, doxercalciferol, 1 mcg.
• J1290 - Injection, ecallantide, 1 mg.
• J1300 - Injection, eculizumab, 10 mg.
• J1301 - Injection, edaravone, 1 mg.
• J1320 - Injection, amitriptyline hcl, up to 20 mg.
• J1322 - Injection, elosulfase alfa, 1 mg.
• J1324 - Injection, enfuvirtide, 1 mg.
• J1325 - Injection, epoprostenol, 0.5 mg.
• J1327 - Injection, eptifibatide, 5 mg.
• J1330 - Injection, ergonovine maleate, up to 0.2 mg.
• J1335 - Injection, ertapenem sodium, 500 mg.
• J1364 - Injection, erythromycin lactobionate, per 500 mg.
• J1380 - Injection, estradiol valerate, up to 10 mg.
• J1410 - Injection, estrogen conjugated, per 25 mg.
• J1428 - Injection, eteplirsen, 10 mg.
• J1430 - Injection, ethanolamine oleate, 100 mg.
• J1435 - Injection, estrone, per 1 mg.
• J1436 - Injection, etidronate disodium, per 300 mg.
• J1438 - Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered).
• J1439 - Injection, ferric carboxymaltose, 1 mg.
• J1442 - Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram.
• J1443 - Injection, ferric pyrophosphate citrate solution, 0.1 mg of iron.
• J1446 - Injection, tbo-filgrastim, 5 micrograms.
• J1447 - Injection, tbo-filgrastim, 1 microgram.
• J1450 - Injection fluconazole, 200 mg.
• J1451 - Injection, fomepizole, 15 mg.
• J1452 - Injection, fomivirsen sodium, intraocular, 1.65 mg.
• J1453 - Injection, fosaprepitant, 1 mg.
• J1454 - Injection, fosnetupitant 235 mg and palonosetron 0.25 mg.
• J1455 - Injection, foscarnet sodium, per 1000 mg.
• J1457 - Injection, gallium nitrate, 1 mg.
• J1458 - Injection, galsulfase, 1 mg.
• J1459 - Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg.
• J1460 - Injection, gamma globulin, intramuscular, 1 cc.
• J1555 - Injection, immune globulin (cuvitru), 100 mg.
• J1556 - Injection, immune globulin (bivigam), 500 mg.
• J1557 - Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg.
• J1559 - Injection, immune globulin (hizentra), 100 mg.
• J1560 - Injection, gamma globulin, intramuscular, over 10 cc.
• J1561 - Injection, immune globulin, (gamunex-c-gammaked), non-lyophilized (e.g., liquid), 500 mg.
• J1562 - Injection, immune globulin (vivaglobin), 100 mg.
• J1566 - Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg.
• J1568 - Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg.
• J1569 - Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg.
• J1570 - Injection, ganciclovir sodium, 500 mg.
• J1571 - Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml.
• J1572 - Injection, immune globulin, (flebogamma-flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg.
• J1573 - Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml.
• J1575 - Injection, immune globulin-hyaluronidase, (hyqvia), 100 mg immuneglobulin.
• J1580 - Injection, garamycin, gentamicin, up to 80 mg.
• J1590 - Injection, gatifloxacin, 10 mg.
• J1595 - Injection, glatiramer acetate, 20 mg.
• J1599 - Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg.
• J1600 - Injection, gold sodium thiomalate, up to 50 mg.
• J1602 - Injection, golimumab, 1 mg, for intravenous use.
• J1610 - Injection, glucagon hydrochloride, per 1 mg.
• J1620 - Injection, gonadorelin hydrochloride, per 100 mcg.
• J1626 - Injection, granisetron hydrochloride, 100 mcg.
• J1627 - Injection, granisetron, extended-release, 0.1 mg.
• J1628 - Injection, guselkumab, 1 mg.
• J1630 - Injection, haloperidol, up to 5 mg.
• J1631 - Injection, haloperidol decanoate, per 50 mg.
• J1640 - Injection, hemin, 1 mg.
• J1642 - Injection, heparin sodium, (heparin lock flush), per 10 units.
• J1644 - Injection, heparin sodium, per 1000 units.
• J1645 - Injection, dalteparin sodium, per 2500 iu.
• J1650 - Injection, enoxaparin sodium, 10 mg.
• J1652 - Injection, fondaparinux sodium, 0.5 mg.
• J1655 - Injection, tinzaparin sodium, 1000 iu.
• J1670 - Injection, tetanus immune globulin, human, up to 250 units.
• J1675 - Injection, histrelin acetate, 10 micrograms.
• J1700 - Injection, hydrocortisone acetate, up to 25 mg.
• J1710 - Injection, hydrocortisone sodium phosphate, up to 50 mg.
• J1720 - Injection, hydrocortisone sodium succinate, up to 100 mg.
• J1725 - Injection, hydroxyprogesterone caproate, 1 mg.
• J1726 - Injection, hydroxyprogesterone caproate, (makena), 10 mg.
• J1729 - Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg.
• J1730 - Injection, diazoxide, up to 300 mg.
• J1740 - Injection, ibandronate sodium, 1 mg.
• J1741 - Injection, ibuprofen, 100 mg.
• J1742 - Injection, ibutilide fumarate, 1 mg.
• J1743 - Injection, idursulfase, 1 mg.
• J1744 - Injection, icatibant, 1 mg.
• J1745 - Injection, infliximab, excludes biosimilar, 10 mg.
• J1746 - Injection, ibalizumab-uiyk, 10 mg.
• J1750 - Injection, iron dextran, 50 mg.
• J1756 - Injection, iron sucrose, 1 mg.
• J1786 - Injection, imiglucerase, 10 units.
• J1790 - Injection, droperidol, up to 5 mg.
• J1800 - Injection, propranolol hcl, up to 1 mg.
• J1810 - Injection, droperidol and fentanyl citrate, up to 2 ml ampule.
• J1815 - Injection, insulin, per 5 units.
• J1817 - Insulin for administration through dme (i.e., insulin pump) per 50 units.
• J1826 - Injection, interferon beta-1a, 30 mcg.
• J1830 - Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered).
• J1833 - Injection, isavuconazonium, 1 mg.
• J1835 - Injection, itraconazole, 50 mg.
• J1840 - Injection, kanamycin sulfate, up to 500 mg.
• J1850 - Injection, kanamycin sulfate, up to 75 mg.
• J1885 - Injection, ketorolac tromethamine, per 15 mg.
• J1890 - Injection, cephalothin sodium, up to 1 gram.
• J1930 - Injection, lanreotide, 1 mg.
• J1931 - Injection, laronidase, 0.1 mg.
• J1940 - Injection, furosemide, up to 20 mg.
• J1942 - Injection, aripiprazole lauroxil, 1 mg.
• J1945 - Injection, lepirudin, 50 mg.
• J1950 - Injection, leuprolide acetate (for depot suspension), per 3.75 mg.
• J1953 - Injection, levetiracetam, 10 mg.
• J1955 - Injection, levocarnitine, per 1 gm.
• J1956 - Injection, levofloxacin, 250 mg.
• J1960 - Injection, levorphanol tartrate, up to 2 mg.
• J1980 - Injection, hyoscyamine sulfate, up to 0.25 mg.
• J1990 - Injection, chlordiazepoxide hcl, up to 100 mg.
• J1 - Competitive acquisition program no-pay submission for a prescription number.
• J2001 - Injection, lidocaine hcl for intravenous infusion, 10 mg.
• J2010 - Injection, lincomycin hcl, up to 300 mg.
• J2020 - Injection, linezolid, 200 mg.
• J2060 - Injection, lorazepam, 2 mg.
• J2062 - Loxapine for inhalation, 1 mg.
• J2150 - Injection, mannitol, 25% in 50 ml.
• J2170 - Injection, mecasermin, 1 mg.
• J2175 - Injection, meperidine hydrochloride, per 100 mg.
• J2180 - Injection, meperidine and promethazine hcl, up to 50 mg.
• J2182 - Injection, mepolizumab, 1 mg.
• J2185 - Injection, meropenem, 100 mg.
• J2210 - Injection, methylergonovine maleate, up to 0.2 mg.
• J2212 - Injection, methylnaltrexone, 0.1 mg.
• J2248 - Injection, micafungin sodium, 1 mg.
• J2250 - Injection, midazolam hydrochloride, per 1 mg.
• J2260 - Injection, milrinone lactate, 5 mg.
• J2265 - Injection, minocycline hydrochloride, 1 mg.
• J2270 - Injection, morphine sulfate, up to 10 mg.
• J2271 - Injection, morphine sulfate, 100mg.
• J2274 - Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg.
• J2275 - Injection, morphine sulfate (preservative-free sterile solution), per 10 mg.
• J2278 - Injection, ziconotide, 1 microgram.
• J2280 - Injection, moxifloxacin, 100 mg.
• J2300 - Injection, nalbuphine hydrochloride, per 10 mg.
• J2310 - Injection, naloxone hydrochloride, per 1 mg.
• J2315 - Injection, naltrexone, depot form, 1 mg.
• J2320 - Injection, nandrolone decanoate, up to 50 mg.
• J2323 - Injection, natalizumab, 1 mg.
• J2325 - Injection, nesiritide, 0.1 mg.
• J2326 - Injection, nusinersen, 0.1 mg.
• J2350 - Injection, ocrelizumab, 1 mg.
• J2353 - Injection, octreotide, depot form for intramuscular injection, 1 mg.
• J2354 - Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg.
• J2355 - Injection, oprelvekin, 5 mg.
• J2357 - Injection, omalizumab, 5 mg.
• J2358 - Injection, olanzapine, long-acting, 1 mg.
• J2360 - Injection, orphenadrine citrate, up to 60 mg.
• J2370 - Injection, phenylephrine hcl, up to 1 ml.
• J2400 - Injection, chloroprocaine hydrochloride, per 30 ml.
• J2405 - Injection, ondansetron hydrochloride, per 1 mg.
• J2407 - Injection, oritavancin, 10 mg.
• J2410 - Injection, oxymorphone hcl, up to 1 mg.
• J2425 - Injection, palifermin, 50 micrograms.
• J2426 - Injection, paliperidone palmitate extended release, 1 mg.
• J2430 - Injection, pamidronate disodium, per 30 mg.
• J2440 - Injection, papaverine hcl, up to 60 mg.
• J2460 - Injection, oxytetracycline hcl, up to 50 mg.
• J2469 - Injection, palonosetron hcl, 25 mcg.
• J2501 - Injection, paricalcitol, 1 mcg.
• J2502 - Injection, pasireotide long acting, 1 mg.
• J2503 - Injection, pegaptanib sodium, 0.3 mg.
• J2504 - Injection, pegademase bovine, 25 iu.
• J2505 - Injection, pegfilgrastim, 6 mg.
• J2507 - Injection, pegloticase, 1 mg.
• J2510 - Injection, penicillin g procaine, aqueous, up to 600,000 units.
• J2513 - Injection, pentastarch, 10% solution, 100 ml.
• J2515 - Injection, pentobarbital sodium, per 50 mg.
• J2540 - Injection, penicillin g potassium, up to 600,000 units.
• J2543 - Injection, piperacillin sodium-tazobactam sodium, 1 gram-0.125 grams (1.125 grams).
• J2545 - Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg.
• J2547 - Injection, peramivir, 1 mg.
• J2550 - Injection, promethazine hcl, up to 50 mg.
• J2560 - Injection, phenobarbital sodium, up to 120 mg.
• J2562 - Injection, plerixafor, 1 mg.
• J2590 - Injection, oxytocin, up to 10 units.
• J2597 - Injection, desmopressin acetate, per 1 mcg.
• J2650 - Injection, prednisolone acetate, up to 1 ml.
• J2670 - Injection, tolazoline hcl, up to 25 mg.
• J2675 - Injection, progesterone, per 50 mg.
• J2680 - Injection, fluphenazine decanoate, up to 25 mg.
• J2690 - Injection, procainamide hcl, up to 1 gm.
• J2700 - Injection, oxacillin sodium, up to 250 mg.
• J2704 - Injection, propofol, 10 mg.
• J2710 - Injection, neostigmine methylsulfate, up to 0.5 mg.
• J2720 - Injection, protamine sulfate, per 10 mg.
• J2724 - Injection, protein c concentrate, intravenous, human, 10 iu.
• J2725 - Injection, protirelin, per 250 mcg.
• J2730 - Injection, pralidoxime chloride, up to 1 gm.
• J2760 - Injection, phentolamine mesylate, up to 5 mg.
• J2765 - Injection, metoclopramide hcl, up to 10 mg.
• J2770 - Injection, quinupristin-dalfopristin, 500 mg (150-350).
• J2778 - Injection, ranibizumab, 0.1 mg.
• J2780 - Injection, ranitidine hydrochloride, 25 mg.
• J2783 - Injection, rasburicase, 0.5 mg.
• J2785 - Injection, regadenoson, 0.1 mg.
• J2786 - Injection, reslizumab, 1 mg.
• J2788 - Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.).
• J2790 - Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.).
• J2791 - Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu.
• J2792 - Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu.
• J2793 - Injection, rilonacept, 1 mg.
• J2794 - Injection, risperidone, long acting, 0.5 mg.
• J2795 - Injection, ropivacaine hydrochloride, 1 mg.
• J2796 - Injection, romiplostim, 10 micrograms.
• J2797 - Injection, rolapitant, 0.5 mg.
• J2800 - Injection, methocarbamol, up to 10 ml.
• J2805 - Injection, sincalide, 5 micrograms.
• J2810 - Injection, theophylline, per 40 mg.
• J2820 - Injection, sargramostim (gm-csf), 50 mcg.
• J2840 - Injection, sebelipase alfa, 1 mg.
• J2850 - Injection, secretin, synthetic, human, 1 microgram.
• J2860 - Injection, siltuximab, 10 mg.
• J2910 - Injection, aurothioglucose, up to 50 mg.
• J2916 - Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg.
• J2920 - Injection, methylprednisolone sodium succinate, up to 40 mg.
• J2930 - Injection, methylprednisolone sodium succinate, up to 125 mg.
• J2940 - Injection, somatrem, 1 mg.
• J2941 - Injection, somatropin, 1 mg.
• J2950 - Injection, promazine hcl, up to 25 mg.
• J2993 - Injection, reteplase, 18.1 mg.
• J2995 - Injection, streptokinase, per 250,000 iu.
• J2997 - Injection, alteplase recombinant, 1 mg.
• J2 - Competitive acquisition program, restocking of emergency drugs after emergency administration.
• J3000 - Injection, streptomycin, up to 1 gm.
• J3010 - Injection, fentanyl citrate, 0.1 mg.
• J3030 - Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered).
• J3060 - Injection, taliglucerase alfa, 10 units.
• J3070 - Injection, pentazocine, 30 mg.
• J3090 - Injection, tedizolid phosphate, 1 mg.
• J3095 - Injection, telavancin, 10 mg.
• J3101 - Injection, tenecteplase, 1 mg.
• J3105 - Injection, terbutaline sulfate, up to 1 mg.
• J3110 - Injection, teriparatide, 10 mcg.
• J3120 - Injection, testosterone enanthate, up to 100 mg.
• J3121 - Injection, testosterone enanthate, 1 mg.
• J3130 - Injection, testosterone enanthate, up to 200 mg.
• J3140 - Injection, testosterone suspension, up to 50 mg.
• J3145 - Injection, testosterone undecanoate, 1 mg.
• J3150 - Injection, testosterone propionate, up to 100 mg.
• J3230 - Injection, chlorpromazine hcl, up to 50 mg.
• J3240 - Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial.
• J3243 - Injection, tigecycline, 1 mg.
• J3245 - Injection, tildrakizumab, 1 mg.
• J3246 - Injection, tirofiban hcl, 0.25 mg.
• J3250 - Injection, trimethobenzamide hcl, up to 200 mg.
• J3260 - Injection, tobramycin sulfate, up to 80 mg.
• J3262 - Injection, tocilizumab, 1 mg.
• J3265 - Injection, torsemide, 10 mg-ml.
• J3280 - Injection, thiethylperazine maleate, up to 10 mg.
• J3285 - Injection, treprostinil, 1 mg.
• J3300 - Injection, triamcinolone acetonide, preservative free, 1 mg.
• J3301 - Injection, triamcinolone acetonide, not otherwise specified, 10 mg.
• J3302 - Injection, triamcinolone diacetate, per 5 mg.
• J3303 - Injection, triamcinolone hexacetonide, per 5 mg.
• J3304 - Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg.
• J3305 - Injection, trimetrexate glucuronate, per 25 mg.
• J3310 - Injection, perphenazine, up to 5 mg.
• J3315 - Injection, triptorelin pamoate, 3.75 mg.
• J3316 - Injection, triptorelin, extended-release, 3.75 mg.
• J3320 - Injection, spectinomycin dihydrochloride, up to 2 gm.
• J3350 - Injection, urea, up to 40 gm.
• J3355 - Injection, urofollitropin, 75 iu.
• J3357 - Ustekinumab, for subcutaneous injection, 1 mg.
• J3358 - Ustekinumab, for intravenous injection, 1 mg.
• J3360 - Injection, diazepam, up to 5 mg.
• J3364 - Injection, urokinase, 5000 iu vial.
• J3365 - Injection, iv, urokinase, 250,000 i.u. vial.
• J3370 - Injection, vancomycin hcl, 500 mg.
• J3380 - Injection, vedolizumab, 1 mg.
• J3385 - Injection, velaglucerase alfa, 100 units.
• J3396 - Injection, verteporfin, 0.1 mg.
• J3397 - Injection, vestronidase alfa-vjbk, 1 mg.
• J3398 - Injection, voretigene neparvovec-rzyl, 1 billion vector genomes.
• J3400 - Injection, triflupromazine hcl, up to 20 mg.
• J3410 - Injection, hydroxyzine hcl, up to 25 mg.
• J3411 - Injection, thiamine hcl, 100 mg.
• J3415 - Injection, pyridoxine hcl, 100 mg.
• J3420 - Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg.
• J3430 - Injection, phytonadione (vitamin k), per 1 mg.
• J3465 - Injection, voriconazole, 10 mg.
• J3470 - Injection, hyaluronidase, up to 150 units.
• J3471 - Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units).
• J3472 - Injection, hyaluronidase, ovine, preservative free, per 1000 usp units.
• J3473 - Injection, hyaluronidase, recombinant, 1 usp unit.
• J3475 - Injection, magnesium sulfate, per 500 mg.
• J3480 - Injection, potassium chloride, per 2 meq.
• J3485 - Injection, zidovudine, 10 mg.
• J3486 - Injection, ziprasidone mesylate, 10 mg.
• J3489 - Injection, zoledronic acid, 1 mg.
• J3490 - Unclassified drugs.
• J3520 - Edetate disodium, per 150 mg.
• J3530 - Nasal vaccine inhalation.
• J3535 - Drug administered through a metered dose inhaler.
• J3570 - Laetrile, amygdalin, vitamin b17.
• J3590 - Unclassified biologics.
• J3591 - Unclassified drug or biological used for esrd on dialysis.
• J3 - Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology.
• J4 - Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge.
• J7030 - Infusion, normal saline solution , 1000 cc.
• J7040 - Infusion, normal saline solution, sterile (500 ml = 1 unit).
• J7042 - 5% dextrose-normal saline (500 ml = 1 unit).
• J7050 - Infusion, normal saline solution, 250 cc.
• J7060 - 5% dextrose-water (500 ml = 1 unit).
• J7070 - Infusion, d5w, 1000 cc.
• J7100 - Infusion, dextran 40, 500 ml.
• J7110 - Infusion, dextran 75, 500 ml.
• J7120 - Ringers lactate infusion, up to 1000 cc.
• J7121 - 5% dextrose in lactated ringers infusion, up to 1000 cc.
• J7131 - Hypertonic saline solution, 1 ml.
• J7170 - Injection, emicizumab-kxwh, 0.5 mg.
• J7175 - Injection, factor x, (human), 1 i.u..
• J7177 - Injection, human fibrinogen concentrate (fibryga), 1 mg.
• J7178 - Injection, human fibrinogen concentrate, not otherwise specified, 1 mg.
• J7179 - Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco.
• J7180 - Injection, factor xiii (antihemophilic factor, human), 1 i.u..
• J7181 - Injection, factor xiii a-subunit, (recombinant), per iu.
• J7182 - Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu.
• J7183 - Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco.
• J7185 - Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u..
• J7186 - Injection, antihemophilic factor viii-von willebrand factor complex (human), per factor viii i.u..
• J7187 - Injection, von willebrand factor complex (humate-p), per iu vwf:rco.
• J7188 - Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u..
• J7189 - Factor viia (antihemophilic factor, recombinant), per 1 microgram.
• J7190 - Factor viii (antihemophilic factor, human) per i.u..
• J7191 - Factor viii (antihemophilic factor (porcine)), per i.u..
• J7192 - Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified.
• J7193 - Factor ix (antihemophilic factor, purified, non-recombinant) per i.u..
• J7194 - Factor ix, complex, per i.u..
• J7195 - Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified.
• J7196 - Injection, antithrombin recombinant, 50 i.u..
• J7197 - Antithrombin iii (human), per i.u..
• J7198 - Anti-inhibitor, per i.u..
• J7199 - Hemophilia clotting factor, not otherwise classified.
• J7200 - Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu.
• J7201 - Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u..
• J7202 - Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u..
• J7203 - Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu.
• J7205 - Injection, factor viii fc fusion protein (recombinant), per iu.
• J7207 - Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u..
• J7209 - Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u..
• J7210 - Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u..
• J7211 - Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u..
• J7296 - Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg.
• J7297 - Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg.
• J7298 - Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg.
• J7300 - Intrauterine copper contraceptive.
• J7301 - Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg.
• J7302 - Levonorgestrel-releasing intrauterine contraceptive system, 52 mg.
• J7303 - Contraceptive supply, hormone containing vaginal ring, each.
• J7304 - Contraceptive supply, hormone containing patch, each.
• J7306 - Levonorgestrel (contraceptive) implant system, including implants and supplies.
• J7307 - Etonogestrel (contraceptive) implant system, including implant and supplies.
• J7308 - Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg).
• J7309 - Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram.
• J7310 - Ganciclovir, 4.5 mg, long-acting implant.
• J7311 - Fluocinolone acetonide, intravitreal implant.
• J7312 - Injection, dexamethasone, intravitreal implant, 0.1 mg.
• J7313 - Injection, fluocinolone acetonide, intravitreal implant, 0.01 mg.
• J7315 - Mitomycin, ophthalmic, 0.2 mg.
• J7316 - Injection, ocriplasmin, 0.125 mg.
• J7318 - Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg.
• J7320 - Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg.
• J7321 - Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose.
• J7322 - Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg.
• J7323 - Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose.
• J7324 - Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose.
• J7325 - Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg.
• J7326 - Hyaluronan or derivative, gel-one, for intra-articular injection, per dose.
• J7327 - Hyaluronan or derivative, monovisc, for intra-articular injection, per dose.
• J7328 - Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg.
• J7329 - Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg.
• J7330 - Autologous cultured chondrocytes, implant.
• J7335 - Capsaicin 8% patch, per 10 square centimeters.
• J7336 - Capsaicin 8% patch, per square centimeter.
• J7340 - Carbidopa 5 mg-levodopa 20 mg enteral suspension, 100 ml.
• J7342 - Instillation, ciprofloxacin otic suspension, 6 mg.
• J7345 - Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg.
• J7500 - Azathioprine, oral, 50 mg.
• J7501 - Azathioprine, parenteral, 100 mg.
• J7502 - Cyclosporine, oral, 100 mg.
• J7503 - Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg.
• J7504 - Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg.
• J7505 - Muromonab-cd3, parenteral, 5 mg.
• J7506 - Prednisone, oral, per 5 mg.
• J7507 - Tacrolimus, immediate release, oral, 1 mg.
• J7508 - Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg.
• J7509 - Methylprednisolone oral, per 4 mg.
• J7510 - Prednisolone oral, per 5 mg.
• J7511 - Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg.
• J7512 - Prednisone, immediate release or delayed release, oral, 1 mg.
• J7513 - Daclizumab, parenteral, 25 mg.
• J7515 - Cyclosporine, oral, 25 mg.
• J7516 - Cyclosporin, parenteral, 250 mg.
• J7517 - Mycophenolate mofetil, oral, 250 mg.
• J7518 - Mycophenolic acid, oral, 180 mg.
• J7520 - Sirolimus, oral, 1 mg.
• J7525 - Tacrolimus, parenteral, 5 mg.
• J7527 - Everolimus, oral, 0.25 mg.
• J7599 - Immunosuppressive drug, not otherwise classified.
• J7604 - Acetylcysteine, inhalation solution, compounded product, administered through dme, unit dose form, per gram.
• J7605 - Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms.
• J7606 - Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms.
• J7607 - Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mg.
• J7608 - Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram.
• J7609 - Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg.
• J7610 - Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg.
• J7611 - Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg.
• J7612 - Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg.
• J7613 - Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg.
• J7614 - Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg.
• J7615 - Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg.
• J7620 - Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme.
• J7622 - Beclomethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram.
• J7624 - Betamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram.
• J7626 - Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg.
• J7627 - Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg.
• J7628 - Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram.
• J7629 - Bitolterol mesylate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram.
• J7631 - Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams.
• J7632 - Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams.
• J7633 - Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram.
• J7634 - Budesonide, inhalation solution, compounded product, administered through dme, concentrated form, per 0.25 milligram.
• J7635 - Atropine, inhalation solution, compounded product, administered through dme, concentrated form, per milligram.
• J7636 - Atropine, inhalation solution, compounded product, administered through dme, unit dose form, per milligram.
• J7637 - Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram.
• J7638 - Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram.
• J7639 - Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram.
• J7640 - Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms.
• J7641 - Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram.
• J7642 - Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram.
• J7643 - Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram.
• J7644 - Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram.
• J7645 - Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram.
• J7647 - Isoetharine hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram.
• J7648 - Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram.
• J7649 - Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram.
• J7650 - Isoetharine hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram.
• J7657 - Isoproterenol hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram.
• J7658 - Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram.
• J7659 - Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram.
• J7660 - Isoproterenol hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram.
• J7665 - Mannitol, administered through an inhaler, 5 mg.
• J7667 - Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligrams.
• J7668 - Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 10 milligrams.
• J7669 - Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams.
• J7670 - Metaproterenol sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams.
• J7674 - Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg.
• J7676 - Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg.
• J7680 - Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram.
• J7681 - Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram.
• J7682 - Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams.
• J7683 - Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram.
• J7684 - Triamcinolone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram.
• J7685 - Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams.
• J7686 - Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg.
• J7699 - Noc drugs, inhalation solution administered through dme.
• J7799 - Noc drugs, other than inhalation drugs, administered through dme.
• J7999 - Compounded drug, not otherwise classified.
• J8498 - Antiemetic drug, rectal-suppository, not otherwise specified.
• J8499 - Prescription drug, oral, non chemotherapeutic, nos.
• J8501 - Aprepitant, oral, 5 mg.
• J8510 - Busulfan; oral, 2 mg.
• J8515 - Cabergoline, oral, 0.25 mg.
• J8520 - Capecitabine, oral, 150 mg.
• J8521 - Capecitabine, oral, 500 mg.
• J8530 - Cyclophosphamide; oral, 25 mg.
• J8540 - Dexamethasone, oral, 0.25 mg.
• J8560 - Etoposide; oral, 50 mg.
• J8562 - Fludarabine phosphate, oral, 10 mg.
• J8565 - Gefitinib, oral, 250 mg.
• J8597 - Antiemetic drug, oral, not otherwise specified.
• J8600 - Melphalan; oral, 2 mg.
• J8610 - Methotrexate; oral, 2.5 mg.
• J8650 - Nabilone, oral, 1 mg.
• J8655 - Netupitant 300 mg and palonosetron 0.5 mg, oral.
• J8670 - Rolapitant, oral, 1 mg.
• J8700 - Temozolomide, oral, 5 mg.
• J8705 - Topotecan, oral, 0.25 mg.
• J8999 - Prescription drug, oral, chemotherapeutic, nos.
• J9000 - Injection, doxorubicin hydrochloride, 10 mg.
• J9010 - Injection, alemtuzumab, 10 mg.
• J9015 - Injection, aldesleukin, per single use vial.
• J9017 - Injection, arsenic trioxide, 1 mg.
• J9019 - Injection, asparaginase (erwinaze), 1,000 iu.
• J9020 - Injection, asparaginase, not otherwise specified, 10,000 units.
• J9022 - Injection, atezolizumab, 10 mg.
• J9023 - Injection, avelumab, 10 mg.
• J9025 - Injection, azacitidine, 1 mg.
• J9027 - Injection, clofarabine, 1 mg.
• J9031 - Bcg (intravesical) per instillation.
• J9032 - Injection, belinostat, 10 mg.
• J9033 - Injection, bendamustine hcl (treanda), 1 mg.
• J9034 - Injection, bendamustine hcl (bendeka), 1 mg.
• J9035 - Injection, bevacizumab, 10 mg.
• J9039 - Injection, blinatumomab, 1 microgram.
• J9040 - Injection, bleomycin sulfate, 15 units.
• J9041 - Injection, bortezomib (velcade), 0.1 mg.
• J9042 - Injection, brentuximab vedotin, 1 mg.
• J9043 - Injection, cabazitaxel, 1 mg.
• J9044 - Injection, bortezomib, not otherwise specified, 0.1 mg.
• J9045 - Injection, carboplatin, 50 mg.
• J9047 - Injection, carfilzomib, 1 mg.
• J9050 - Injection, carmustine, 100 mg.
• J9055 - Injection, cetuximab, 10 mg.
• J9057 - Injection, copanlisib, 1 mg.
• J9060 - Injection, cisplatin, powder or solution, 10 mg.
• J9065 - Injection, cladribine, per 1 mg.
• J9070 - Cyclophosphamide, 100 mg.
• J9098 - Injection, cytarabine liposome, 10 mg.
• J9100 - Injection, cytarabine, 100 mg.
• J9120 - Injection, dactinomycin, 0.5 mg.
• J9130 - Dacarbazine, 100 mg.
• J9145 - Injection, daratumumab, 10 mg.
• J9150 - Injection, daunorubicin, 10 mg.
• J9151 - Injection, daunorubicin citrate, liposomal formulation, 10 mg.
• J9153 - Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine.
• J9155 - Injection, degarelix, 1 mg.
• J9160 - Injection, denileukin diftitox, 300 micrograms.
• J9165 - Injection, diethylstilbestrol diphosphate, 250 mg.
• J9171 - Injection, docetaxel, 1 mg.
• J9173 - Injection, durvalumab, 10 mg.
• J9175 - Injection, elliotts' b solution, 1 ml.
• J9176 - Injection, elotuzumab, 1 mg.
• J9178 - Injection, epirubicin hcl, 2 mg.
• J9179 - Injection, eribulin mesylate, 0.1 mg.
• J9181 - Injection, etoposide, 10 mg.
• J9185 - Injection, fludarabine phosphate, 50 mg.
• J9190 - Injection, fluorouracil, 500 mg.
• J9200 - Injection, floxuridine, 500 mg.
• J9201 - Injection, gemcitabine hydrochloride, 200 mg.
• J9202 - Goserelin acetate implant, per 3.6 mg.
• J9203 - Injection, gemtuzumab ozogamicin, 0.1 mg.
• J9205 - Injection, irinotecan liposome, 1 mg.
• J9206 - Injection, irinotecan, 20 mg.
• J9207 - Injection, ixabepilone, 1 mg.
• J9208 - Injection, ifosfamide, 1 gram.
• J9209 - Injection, mesna, 200 mg.
• J9211 - Injection, idarubicin hydrochloride, 5 mg.
• J9212 - Injection, interferon alfacon-1, recombinant, 1 microgram.
• J9213 - Injection, interferon, alfa-2a, recombinant, 3 million units.
• J9214 - Injection, interferon, alfa-2b, recombinant, 1 million units.
• J9215 - Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu.
• J9216 - Injection, interferon, gamma 1-b, 3 million units.
• J9217 - Leuprolide acetate (for depot suspension), 7.5 mg.
• J9218 - Leuprolide acetate, per 1 mg.
• J9219 - Leuprolide acetate implant, 65 mg.
• J9225 - Histrelin implant (vantas), 50 mg.
• J9226 - Histrelin implant (supprelin la), 50 mg.
• J9228 - Injection, ipilimumab, 1 mg.
• J9229 - Injection, inotuzumab ozogamicin, 0.1 mg.
• J9230 - Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg.
• J9245 - Injection, melphalan hydrochloride, 50 mg.
• J9250 - Methotrexate sodium, 5 mg.
• J9260 - Methotrexate sodium, 50 mg.
• J9261 - Injection, nelarabine, 50 mg.
• J9262 - Injection, omacetaxine mepesuccinate, 0.01 mg.
• J9263 - Injection, oxaliplatin, 0.5 mg.
• J9264 - Injection, paclitaxel protein-bound particles, 1 mg.
• J9265 - Injection, paclitaxel, 30 mg.
• J9266 - Injection, pegaspargase, per single dose vial.
• J9267 - Injection, paclitaxel, 1 mg.
• J9268 - Injection, pentostatin, 10 mg.
• J9270 - Injection, plicamycin, 2.5 mg.
• J9271 - Injection, pembrolizumab, 1 mg.
• J9280 - Injection, mitomycin, 5 mg.
• J9285 - Injection, olaratumab, 10 mg.
• J9293 - Injection, mitoxantrone hydrochloride, per 5 mg.
• J9295 - Injection, necitumumab, 1 mg.
• J9299 - Injection, nivolumab, 1 mg.
• J9300 - Injection, gemtuzumab ozogamicin, 5 mg.
• J9301 - Injection, obinutuzumab, 10 mg.
• J9302 - Injection, ofatumumab, 10 mg.
• J9303 - Injection, panitumumab, 10 mg.
• J9305 - Injection, pemetrexed, 10 mg.
• J9306 - Injection, pertuzumab, 1 mg.
• J9307 - Injection, pralatrexate, 1 mg.
• J9308 - Injection, ramucirumab, 5 mg.
• J9310 - Injection, rituximab, 100 mg.
• J9311 - Injection, rituximab 10 mg and hyaluronidase.
• J9312 - Injection, rituximab, 10 mg.
• J9315 - Injection, romidepsin, 1 mg.
• J9320 - Injection, streptozocin, 1 gram.
• J9325 - Injection, talimogene laherparepvec, per 1 million plaque forming units.
• J9328 - Injection, temozolomide, 1 mg.
• J9330 - Injection, temsirolimus, 1 mg.
• J9340 - Injection, thiotepa, 15 mg.
• J9351 - Injection, topotecan, 0.1 mg.
• J9352 - Injection, trabectedin, 0.1 mg.
• J9354 - Injection, ado-trastuzumab emtansine, 1 mg.
• J9355 - Injection, trastuzumab, 10 mg.
• J9357 - Injection, valrubicin, intravesical, 200 mg.
• J9360 - Injection, vinblastine sulfate, 1 mg.
• J9370 - Vincristine sulfate, 1 mg.
• J9371 - Injection, vincristine sulfate liposome, 1 mg.
• J9390 - Injection, vinorelbine tartrate, 10 mg.
• J9395 - Injection, fulvestrant, 25 mg.
• J9400 - Injection, ziv-aflibercept, 1 mg.
• J9600 - Injection, porfimer sodium, 75 mg.
• J9999 - Not otherwise classified, antineoplastic drugs.
• JA - Administered intravenously.
• JB - Administered subcutaneously.
• JC - Skin substitute used as a graft.
• JD - Skin substitute not used as a graft.
• JE - Administered via dialysate.
• JF - Compounded drug.
• JG - Drug or biological acquired with 340b drug pricing program discount.
• JW - Drug amount discarded-not administered to any patient.

HCPCS codes
HCPCS codes starting with A - B - C - D - E - F - F - G - H - I - J - K - L - M - N - O - P - Q - R - S - T - U - V - W - X - Y - Z

External links

• HCPCS by the AAPC
• HCPCS Complete Reference
• HCPCS Level 2 codes 2020