HCPCS 2017

J7179 Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco
J9325 Injection, talimogene laherparepvec, per 1 million plaque forming units
J9295 Injection, necitumumab, 1 mg
J0570 Buprenorphine implant, 74.2 mg
J9205 Injection, irinotecan liposome, 1 mg
J9176 Injection, elotuzumab, 1 mg
J9145 Injection, daratumumab, 10 mg
J9034 Injection, bendamustine hcl (bendeka), 1 mg
J0883 Injection, argatroban, 1 mg (for non-esrd use)
J8670 Rolapitant, oral, 1 mg
J0884 Injection, argatroban, 1 mg (for esrd on dialysis)
J1130 Injection, diclofenac sodium, 0.5 mg
J9352 Injection, trabectedin, 0.1 mg
J7342 Installation, ciprofloxacin otic suspension, 6 mg
J1942 Injection, aripiprazole lauroxil, 1 mg
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg
J2182 Injection, mepolizumab, 1 mg
J2786 Injection, reslizumab, 1 mg
J2840 Injection, sebelipase alfa, 1 mg
J7209 Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u.
J7207 Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.
J7202 Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.
J7175 Injection, factor x, (human), 1 i.u.
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
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
J0190 Injection, biperiden lactate, per 5 mg
J0200 Injection, alatrofloxacin mesylate, 100 mg
J0202 Injection, alemtuzumab, 1 mg
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
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
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
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
J0600 Injection, edetate calcium disodium, up to 1000 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
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 (cortrosyn), 0.25 mg
J0840 Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram
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)
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units
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
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
J1071 Injection, testosterone cypionate, 1 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 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
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
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
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
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
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, taliglucerace 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
J3121 Injection, testosterone enanthate, 1 mg
J3145 Injection, testosterone undecanoate, 1 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
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
J3305 Injection, trimetrexate glucuronate, per 25 mg
J3310 Injection, perphenazine, up to 5 mg
J3315 Injection, triptorelin pamoate, 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
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
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
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
J7178 Injection, human fibrinogen concentrate, 1 mg
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.
J7205 Injection, factor viii fc fusion protein (recombinant), per iu
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
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
J7321 Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose
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, gel-syn, for intra-articular injection, 0.1 mg
J7330 Autologous cultured chondrocytes, implant
J7336 Capsaicin 8% patch, per square centimeter
J7340 Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml
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
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
J8700 Temozolomide, oral, 5 mg
J8705 Topotecan, oral, 0.25 mg
J8999 Prescription drug, oral, chemotherapeutic, nos
J9000 Injection, doxorubicin hydrochloride, 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
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
J9035 Injection, bevacizumab, 10 mg
J9039 Injection, blinatumomab, 1 microgram
J9040 Injection, bleomycin sulfate, 15 units
J9041 Injection, bortezomib, 0.1 mg
J9042 Injection, brentuximab vedotin, 1 mg
J9043 Injection, cabazitaxel, 1 mg
J9045 Injection, carboplatin, 50 mg
J9047 Injection, carfilzomib, 1 mg
J9050 Injection, carmustine, 100 mg
J9055 Injection, cetuximab, 10 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
J9150 Injection, daunorubicin, 10 mg
J9151 Injection, daunorubicin citrate, liposomal formulation, 10 mg
J9155 Injection, degarelix, 1 mg
J9160 Injection, denileukin diftitox, 300 micrograms
J9165 Injection, diethylstilbestrol diphosphate, 250 mg
J9171 Injection, docetaxel, 1 mg
J9175 Injection, elliotts' b solution, 1 ml
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
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
Inhalation Solutions
Chemotherapy Drugs
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
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
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
J9293 Injection, mitoxantrone hydrochloride, per 5 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
J9315 Injection, romidepsin, 1 mg
J9320 Injection, streptozocin, 1 gram
J9328 Injection, temozolomide, 1 mg
J9330 Injection, temsirolimus, 1 mg
J9340 Injection, thiotepa, 15 mg
J9351 Injection, topotecan, 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