HCPCS Index 2017

Ibandronate sodium,   J1740
Ibuprofen,   J1741
Ibutilide Fumarate,   J1742
Icatibant,   J1744
cap,   E023
collar,   E023
Idarubicin HCl,   J9211
Idursulfase,   J1743
Ifosfamide,   J9208
Iloprost,   Q4074
Imiglucerase,   J1786
Immune globulin,   J1575
Bivigam,   J1556
Flebogamma,   J1572
Gammagard liquid,   J1569
Gammaplex,   J1557
Gamunex,   J1561
HepaGam B,   J1571
Hizentra,   J1559
Intravenous services, supplies and accessories,   Q2052
NOS,   J1566
Octagam,   J1568
Privigen,   J1459
Rho(D),   J2788, J2790
Rhophylac,   J2791
Subcutaneous,   J1562
Immunosuppressive drug, not otherwise classified,   J7599
access system,   A4301
aqueous shunt,   L8612
breast,   L8600
buprenorphine implant,   J0570
cochlear,   L8614, L8619
collagen, urinary tract,   L8603
dextranomerhyaluronic acid copolymer,   L8604
ganciclovir,   J7310
hallux,   L8642
urinary tract,   L8603, L8606
infusion pump, programmable,   E0783, E0786
joint,   L8630, L8641, L8658
lacrimal duct,   A4262, A4263
metacarpophalangeal joint,   L8630
metatarsal joint,   L8641
neurostimulator pulse generator,   L8679, L8681 - L8688
Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only   L8681
Implantable neurostimulator radiofrequency receiver   L8682
Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver   L8683
Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement   L8684
Implantable neurostimulator pulse generator, single array, rechargeable, includes extension   L8685
Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension   L8686
Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension   L8687
Implantable neurostimulator pulse generator, dual array, non-rechargeable, includes extension   L8688
not otherwise specified,   L8699
ocular,   L8610
ossicular,   L8613
osteogenesis stimulator,   E0749
percutaneous access system,   A4301
replacement implantable intraspinal catheter,   E0785
synthetic, urinary,   L8606
vascular graft,   L8670
Implantable radiation dosimeter,   A4650
Impregnated gauze dressing,   A6222 - A6230
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq in or less, without adhesive border, each dressing   A6222
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq in, but less than or equal to 48 sq in, without adhesive border, each dressing   A6223
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq in, without adhesive border, each dressing   A6224
Gauze, impregnated, water or normal saline, sterile, pad size 16 sq in or less, without adhesive border, each dressing   A6228
Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing   A6229
Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq in, without adhesive border, each dressing   A6230
Incobotulinumtoxin a,   J0588
appliances and supplies,   A4310, A4331, A4332, A4360, A5071 - A5075 , A5102 - A5114
Ostomy pouch, urinary with barrier attached (1 piece), each   A5071
Ostomy pouch, urinary without barrier attached (1 piece), each   A5072
Ostomy pouch, urinary for use on barrier with flange (2 piece), each   A5073
Bedside drainage bottle with or without tubing, rigid or expandable, each   A5102
Urinary suspensory with leg bag, with or without tube, each   A5105
Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each   A5112
Leg strap latex, replacement only, per set   A5113
Leg strap foam or fabric, replacement only, per set   A5114
treatment system,   E0740
Indium IN-111 carpromab pendetide,   A9507
Indium IN-111 ibritumomab tiuxetan,   A9542
Indium IN-111 labeled autologous white blood cells,   A9570
Indium IN-111 labeled autologous platelets,   A9571
Indium IN-111 oxyquinoline,   A9547
Indium IN-111 pentetate,   A9548
Indium IN-111 pentetreotide,   A9572
Indium IN-111 satumomab,   A4642
Infliximab injection,   J1745
pump, ambulatory, with administrative equipment,   E0781
pump, heparin, dialysis,   E1520
pump, implantable,   E0782, E0783
pump, implantable, refill kit,   A4220
pump, insulin,   E0784
pump, mechanical, reusable,   E0779, E0780
pump, uninterrupted infusion of Epiprostenol,   K0455
replacement battery,   A4602
supplies,   A4219, A4221, A4222, A4225, A4230 - A4232
Infusion set for external insulin pump, non needle cannula type   A4230
Infusion set for external insulin pump, needle type   A4231
Syringe with needle for external insulin pump, sterile, 3 cc   A4232
therapy, other than chemotherapeutic drugs,   Q0081
Inhalation solution (see also drug name),   J7608 - J7699 , Q4074
Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram   J7608
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg   J7609
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg   J7610
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg   J7611
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 05 mg   J7612
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg   J7613
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 05 mg   J7614
Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 05 mg   J7615
Albuterol, up to 25 mg and ipratropium bromide, up to 05 mg, fda-approved final product, non-compounded, administered through dme   J7620
Beclomethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram   J7622
Betamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram   J7624
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 05 mg   J7626
Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 05 mg   J7627
Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram   J7628
Bitolterol mesylate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram   J7629
Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams   J7631
Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams   J7632
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 025 milligram   J7633
Budesonide, inhalation solution, compounded product, administered through dme, concentrated form, per 025 milligram   J7634
Atropine, inhalation solution, compounded product, administered through dme, concentrated form, per milligram   J7635
Atropine, inhalation solution, compounded product, administered through dme, unit dose form, per milligram   J7636
Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram   J7637
Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram   J7638
Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram   J7639
Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms   J7640
Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram   J7641
Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram   J7642
Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram   J7643
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram   J7644
Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram   J7645
Isoetharine hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram   J7647
Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram   J7648
Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram   J7649
Isoetharine hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram   J7650
Isoproterenol hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram   J7657
Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram   J7658
Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram   J7659
Isoproterenol hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram   J7660
Mannitol, administered through an inhaler, 5 mg   J7665
Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligrams   J7667
Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 10 milligrams   J7668
Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams   J7669
Metaproterenol sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams   J7670
Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg   J7674
Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg   J7676
Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram   J7680
Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram   J7681
Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams   J7682
Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram   J7683
Triamcinolone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram   J7684
Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams   J7685
Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 174 mg   J7686
Noc drugs, inhalation solution administered through dme   J7699
Injections (see also drug name),   J0120 - J7320 , J9032, J9039, J9271, J9299, J9308
Injection, diclofenac sodium, 05 mg   J1130
Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 iu   J7209
Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 iu   J7207
Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 iu   J7202
Injection, von willebrand factor (recombinant), (vonvendi), 1 iu vwfrco   J7179
Injection, factor x, (human), 1 iu   J7175
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg   J7320
Injection, sebelipase alfa, 1 mg   J2840
Injection, reslizumab, 1 mg   J2786
Buprenorphine implant, 742 mg   J0570
Injection, mepolizumab, 1 mg   J2182
Injection, aripiprazole lauroxil, 1 mg   J1942
Injection, argatroban, 1 mg (for non-esrd use)   J0883
Injection, argatroban, 1 mg (for esrd on dialysis)   J0884
Injection, alglucerase, per 10 units   J0205
Injection, tetracycline, up to 250 mg   J0120
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)   J0129
Injection abciximab, 10 mg   J0130
Injection, acetaminophen, 10 mg   J0131
Injection, acetylcysteine, 100 mg   J0132
Injection, acyclovir, 5 mg   J0133
Injection, adalimumab, 20 mg   J0135
Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)   J0153
Injection, adrenalin, epinephrine, 01 mg   J0171
Injection, aflibercept, 1 mg   J0178
Injection, agalsidase beta, 1 mg   J0180
Injection, biperiden lactate, per 5 mg   J0190
Injection, alatrofloxacin mesylate, 100 mg   J0200
Injection, alemtuzumab, 1 mg   J0202
Injection, amifostine, 500 mg   J0207
Injection, methyldopate hcl, up to 250 mg   J0210
Injection, alefacept, 05 mg   J0215
Injection, alglucosidase alfa, 10 mg, not otherwise specified   J0220
Injection, alglucosidase alfa, (lumizyme), 10 mg   J0221
Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg   J0256
Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg   J0257
Injection, alprostadil, 125 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)   J0270
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)   J0275
Injection, amikacin sulfate, 100 mg   J0278
Injection, aminophyllin, up to 250 mg   J0280
Injection, amiodarone hydrochloride, 30 mg   J0282
Injection, amphotericin b, 50 mg   J0285
Injection, amphotericin b lipid complex, 10 mg   J0287
Injection, amphotericin b cholesteryl sulfate complex, 10 mg   J0288
Injection, amphotericin b liposome, 10 mg   J0289
Injection, ampicillin sodium, 500 mg   J0290
Injection, ampicillin sodiumsulbactam sodium, per 15 gm   J0295
Injection, amobarbital, up to 125 mg   J0300
Injection, succinylcholine chloride, up to 20 mg   J0330
Injection, anidulafungin, 1 mg   J0348
Injection, anistreplase, per 30 units   J0350
Injection, hydralazine hcl, up to 20 mg   J0360
Injection, apomorphine hydrochloride, 1 mg   J0364
Injection, aprotonin, 10,000 kiu   J0365
Injection, metaraminol bitartrate, per 10 mg   J0380
Injection, chloroquine hydrochloride, up to 250 mg   J0390
Injection, arbutamine hcl, 1 mg   J0395
Injection, aripiprazole, intramuscular, 025 mg   J0400
Injection, aripiprazole, extended release, 1 mg   J0401
Injection, azithromycin, 500 mg   J0456
Injection, atropine sulfate, 001 mg   J0461
Injection, dimercaprol, per 100 mg   J0470
Injection, baclofen, 10 mg   J0475
Injection, baclofen, 50 mcg for intrathecal trial   J0476
Injection, basiliximab, 20 mg   J0480
Injection, belatacept, 1 mg   J0485
Injection, belimumab, 10 mg   J0490
Injection, dicyclomine hcl, up to 20 mg   J0500
Injection, benztropine mesylate, per 1 mg   J0515
Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg   J0520
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units   J0558
Injection, penicillin g benzathine, 100,000 units   J0561
Buprenorphine, oral, 1 mg   J0571
Buprenorphinenaloxone, oral, less than or equal to 3 mg buprenorphine   J0572
Buprenorphinenaloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine   J0573
Buprenorphinenaloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine   J0574
Buprenorphinenaloxone, oral, greater than 10 mg buprenorphine   J0575
Injection, bivalirudin, 1 mg   J0583
Injection, onabotulinumtoxina, 1 unit   J0585
Injection, abobotulinumtoxina, 5 units   J0586
Injection, rimabotulinumtoxinb, 100 units   J0587
Injection, incobotulinumtoxin a, 1 unit   J0588
Injection, buprenorphine hydrochloride, 01 mg   J0592
injection, busulfan, 1 mg   J0594
Injection, butorphanol tartrate, 1 mg   J0595
Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units   J0596
Injection, c-1 esterase inhibitor (human), berinert, 10 units   J0597
Injection, c-1 esterase inhibitor (human), cinryze, 10 units   J0598
Injection, edetate calcium disodium, up to 1000 mg   J0600
Injection, calcium gluconate, per 10 ml   J0610
Injection, calcium glycerophosphate and calcium lactate, per 10 ml   J0620
Injection, calcitonin salmon, up to 400 units   J0630
Injection, calcitriol, 01 mcg   J0636
Injection, caspofungin acetate, 5 mg   J0637
Injection, canakinumab, 1 mg   J0638
Injection, leucovorin calcium, per 50 mg   J0640
Injection, levoleucovorin calcium, 05 mg   J0641
Injection, mepivacaine hydrochloride, per 10 ml   J0670
Injection, cefazolin sodium, 500 mg   J0690
Injection, cefepime hydrochloride, 500 mg   J0692
Injection, cefoxitin sodium, 1 gm   J0694
Injection, ceftolozane 50 mg and tazobactam 25 mg   J0695
Injection, ceftriaxone sodium, per 250 mg   J0696
Injection, sterile cefuroxime sodium, per 750 mg   J0697
Injection, cefotaxime sodium, per gm   J0698
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg   J0702
Injection, caffeine citrate, 5 mg   J0706
Injection, cephapirin sodium, up to 1 gm   J0710
Injection, ceftaroline fosamil, 10 mg   J0712
Injection, ceftazidime, per 500 mg   J0713
Injection, ceftazidime and avibactam, 05 g0125 g   J0714
Injection, ceftizoxime sodium, per 500 mg   J0715
Injection, centruroides immune f(ab)2, up to 120 milligrams   J0716
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)   J0717
Injection, chloramphenicol sodium succinate, up to 1 gm   J0720
Injection, chorionic gonadotropin, per 1,000 usp units   J0725
Injection, clonidine hydrochloride, 1 mg   J0735
Injection, cidofovir, 375 mg   J0740
Injection, cilastatin sodium imipenem, per 250 mg   J0743
Injection, ciprofloxacin for intravenous infusion, 200 mg   J0744
Injection, codeine phosphate, per 30 mg   J0745
Injection, colistimethate sodium, up to 150 mg   J0770
Injection, collagenase, clostridium histolyticum, 001 mg   J0775
Injection, prochlorperazine, up to 10 mg   J0780
Injection, corticorelin ovine triflutate, 1 microgram   J0795
Injection, corticotropin, up to 40 units   J0800
Injection, cosyntropin, not otherwise specified, 025 mg   J0833
Injection, cosyntropin (cortrosyn), 025 mg   J0834
Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram   J0840
Injection, cytomegalovirus immune globulin intravenous (human), per vial   J0850
Injection, dalbavancin, 5 mg   J0875
Injection, daptomycin, 1 mg   J0878
Injection, darbepoetin alfa, 1 microgram (non-esrd use)   J0881
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)   J0882
Injection, epoetin alfa, (for non-esrd use), 1000 units   J0885
Injection, epoetin beta, 1 microgram, (for esrd on dialysis)   J0887
Injection, epoetin beta, 1 microgram, (for non esrd use)   J0888
Injection, peginesatide, 01 mg (for esrd on dialysis)   J0890
Injection, decitabine, 1 mg   J0894
Injection, deferoxamine mesylate, 500 mg   J0895
Injection, denosumab, 1 mg   J0897
Injection, brompheniramine maleate, per 10 mg   J0945
Injection, depo-estradiol cypionate, up to 5 mg   J1000
Injection, methylprednisolone acetate, 20 mg   J1020
Injection, methylprednisolone acetate, 40 mg   J1030
Injection, methylprednisolone acetate, 80 mg   J1040
Injection, medroxyprogesterone acetate, 1 mg   J1050
Injection, testosterone cypionate, 1 mg   J1071
Injection, dexamethasone acetate, 1 mg   J1094
Injection, dexamethasone sodium phosphate, 1 mg   J1100
Injection, dihydroergotamine mesylate, per 1 mg   J1110
Injection, acetazolamide sodium, up to 500 mg   J1120
Injection, digoxin, up to 05 mg   J1160
Injection, digoxin immune fab (ovine), per vial   J1162
Injection, phenytoin sodium, per 50 mg   J1165
Injection, hydromorphone, up to 4 mg   J1170
Injection, dyphylline, up to 500 mg   J1180
Injection, dexrazoxane hydrochloride, per 250 mg   J1190
Injection, diphenhydramine hcl, up to 50 mg   J1200
Injection, chlorothiazide sodium, per 500 mg   J1205
Injection, dmso, dimethyl sulfoxide, 50, 50 ml   J1212
Injection, methadone hcl, up to 10 mg   J1230
Injection, dimenhydrinate, up to 50 mg   J1240
Injection, dipyridamole, per 10 mg   J1245
Injection, dobutamine hydrochloride, per 250 mg   J1250
Injection, dolasetron mesylate, 10 mg   J1260
Injection, dopamine hcl, 40 mg   J1265
Injection, doripenem, 10 mg   J1267
Injection, doxercalciferol, 1 mcg   J1270
Injection, ecallantide, 1 mg   J1290
Injection, eculizumab, 10 mg   J1300
Injection, amitriptyline hcl, up to 20 mg   J1320
Injection, elosulfase alfa, 1 mg   J1322
Injection, enfuvirtide, 1 mg   J1324
Injection, epoprostenol, 05 mg   J1325
Injection, eptifibatide, 5 mg   J1327
Injection, ergonovine maleate, up to 02 mg   J1330
Injection, ertapenem sodium, 500 mg   J1335
Injection, erythromycin lactobionate, per 500 mg   J1364
Injection, estradiol valerate, up to 10 mg   J1380
Injection, estrogen conjugated, per 25 mg   J1410
Injection, ethanolamine oleate, 100 mg   J1430
Injection, estrone, per 1 mg   J1435
Injection, etidronate disodium, per 300 mg   J1436
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)   J1438
Injection, ferric carboxymaltose, 1 mg   J1439
Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram   J1442
Injection, ferric pyrophosphate citrate solution, 01 mg of iron   J1443
Injection, tbo-filgrastim, 1 microgram   J1447
Injection fluconazole, 200 mg   J1450
Injection, fomepizole, 15 mg   J1451
Injection, fomivirsen sodium, intraocular, 165 mg   J1452
Injection, fosaprepitant, 1 mg   J1453
Injection, foscarnet sodium, per 1000 mg   J1455
Injection, gallium nitrate, 1 mg   J1457
Injection, galsulfase, 1 mg   J1458
Injection, immune globulin (privigen), intravenous, non-lyophilized (eg, liquid), 500 mg   J1459
Injection, gamma globulin, intramuscular, 1 cc   J1460
Injection, immune globulin (bivigam), 500 mg   J1556
Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (eg, liquid), 500 mg   J1557
Injection, immune globulin (hizentra), 100 mg   J1559
Injection, gamma globulin, intramuscular, over 10 cc   J1560
Injection, immune globulin, (gamunex-cgammaked), non-lyophilized (eg, liquid), 500 mg   J1561
Injection, immune globulin (vivaglobin), 100 mg   J1562
Injection, immune globulin, intravenous, lyophilized (eg, powder), not otherwise specified, 500 mg   J1566
Injection, immune globulin, (octagam), intravenous, non-lyophilized (eg, liquid), 500 mg   J1568
Injection, immune globulin, (gammagard liquid), non-lyophilized, (eg, liquid), 500 mg   J1569
Injection, ganciclovir sodium, 500 mg   J1570
Injection, hepatitis b immune globulin (hepagam b), intramuscular, 05 ml   J1571
Injection, immune globulin, (flebogammaflebogamma dif), intravenous, non-lyophilized (eg, liquid), 500 mg   J1572
Injection, hepatitis b immune globulin (hepagam b), intravenous, 05 ml   J1573
Injection, immune globulinhyaluronidase, (hyqvia), 100 mg immuneglobulin   J1575
Injection, garamycin, gentamicin, up to 80 mg   J1580
Injection, glatiramer acetate, 20 mg   J1595
Injection, immune globulin, intravenous, non-lyophilized (eg, liquid), not otherwise specified, 500 mg   J1599
Injection, gold sodium thiomalate, up to 50 mg   J1600
Injection, golimumab, 1 mg, for intravenous use   J1602
Injection, glucagon hydrochloride, per 1 mg   J1610
Injection, gonadorelin hydrochloride, per 100 mcg   J1620
Injection, granisetron hydrochloride, 100 mcg   J1626
Injection, haloperidol, up to 5 mg   J1630
Injection, haloperidol decanoate, per 50 mg   J1631
Injection, hemin, 1 mg   J1640
Injection, heparin sodium, (heparin lock flush), per 10 units   J1642
Injection, heparin sodium, per 1000 units   J1644
Injection, dalteparin sodium, per 2500 iu   J1645
Injection, enoxaparin sodium, 10 mg   J1650
Injection, fondaparinux sodium, 05 mg   J1652
Injection, tinzaparin sodium, 1000 iu   J1655
Injection, tetanus immune globulin, human, up to 250 units   J1670
Injection, histrelin acetate, 10 micrograms   J1675
Injection, hydrocortisone acetate, up to 25 mg   J1700
Injection, hydrocortisone sodium phosphate, up to 50 mg   J1710
Injection, hydrocortisone sodium succinate, up to 100 mg   J1720
Injection, hydroxyprogesterone caproate, 1 mg   J1725
Injection, diazoxide, up to 300 mg   J1730
Injection, ibandronate sodium, 1 mg   J1740
Injection, ibuprofen, 100 mg   J1741
Injection, ibutilide fumarate, 1 mg   J1742
Injection, idursulfase, 1 mg   J1743
Injection, icatibant, 1 mg   J1744
Injection, infliximab, excludes biosimilar, 10 mg   J1745
Injection, iron dextran, 50 mg   J1750
Injection, iron sucrose, 1 mg   J1756
Injection, imiglucerase, 10 units   J1786
Injection, droperidol, up to 5 mg   J1790
Injection, propranolol hcl, up to 1 mg   J1800
Injection, droperidol and fentanyl citrate, up to 2 ml ampule   J1810
Injection, insulin, per 5 units   J1815
Insulin for administration through dme (ie, insulin pump) per 50 units   J1817
Injection, interferon beta-1a, 30 mcg   J1826
Injection, interferon beta-1b, 025 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)   J1830
Injection, isavuconazonium, 1 mg   J1833
Injection, itraconazole, 50 mg   J1835
Injection, kanamycin sulfate, up to 500 mg   J1840
Injection, kanamycin sulfate, up to 75 mg   J1850
Injection, ketorolac tromethamine, per 15 mg   J1885
Injection, cephalothin sodium, up to 1 gram   J1890
Injection, lanreotide, 1 mg   J1930
Injection, laronidase, 01 mg   J1931
Injection, furosemide, up to 20 mg   J1940
Injection, lepirudin, 50 mg   J1945
Injection, leuprolide acetate (for depot suspension), per 375 mg   J1950
Injection, levetiracetam, 10 mg   J1953
Injection, levocarnitine, per 1 gm   J1955
Injection, levofloxacin, 250 mg   J1956
Injection, levorphanol tartrate, up to 2 mg   J1960
Injection, hyoscyamine sulfate, up to 025 mg   J1980
Injection, chlordiazepoxide hcl, up to 100 mg   J1990
Injection, lidocaine hcl for intravenous infusion, 10 mg   J2001
Injection, lincomycin hcl, up to 300 mg   J2010
Injection, linezolid, 200 mg   J2020
Injection, lorazepam, 2 mg   J2060
Injection, mannitol, 25 in 50 ml   J2150
Injection, mecasermin, 1 mg   J2170
Injection, meperidine hydrochloride, per 100 mg   J2175
Injection, meperidine and promethazine hcl, up to 50 mg   J2180
Injection, meropenem, 100 mg   J2185
Injection, methylergonovine maleate, up to 02 mg   J2210
Injection, methylnaltrexone, 01 mg   J2212
Injection, micafungin sodium, 1 mg   J2248
Injection, midazolam hydrochloride, per 1 mg   J2250
Injection, milrinone lactate, 5 mg   J2260
Injection, minocycline hydrochloride, 1 mg   J2265
Injection, morphine sulfate, up to 10 mg   J2270
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg   J2274
Injection, ziconotide, 1 microgram   J2278
Injection, moxifloxacin, 100 mg   J2280
Injection, nalbuphine hydrochloride, per 10 mg   J2300
Injection, naloxone hydrochloride, per 1 mg   J2310
Injection, naltrexone, depot form, 1 mg   J2315
Injection, nandrolone decanoate, up to 50 mg   J2320
Injection, natalizumab, 1 mg   J2323
Injection, nesiritide, 01 mg   J2325
Injection, octreotide, depot form for intramuscular injection, 1 mg   J2353
Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg   J2354
Injection, oprelvekin, 5 mg   J2355
Injection, omalizumab, 5 mg   J2357
Injection, olanzapine, long-acting, 1 mg   J2358
Injection, orphenadrine citrate, up to 60 mg   J2360
Injection, phenylephrine hcl, up to 1 ml   J2370
Injection, chloroprocaine hydrochloride, per 30 ml   J2400
Injection, ondansetron hydrochloride, per 1 mg   J2405
Injection, oritavancin, 10 mg   J2407
Injection, oxymorphone hcl, up to 1 mg   J2410
Injection, palifermin, 50 micrograms   J2425
Injection, paliperidone palmitate extended release, 1 mg   J2426
Injection, pamidronate disodium, per 30 mg   J2430
Injection, papaverine hcl, up to 60 mg   J2440
Injection, oxytetracycline hcl, up to 50 mg   J2460
Injection, palonosetron hcl, 25 mcg   J2469
Injection, paricalcitol, 1 mcg   J2501
Injection, pasireotide long acting, 1 mg   J2502
Injection, pegaptanib sodium, 03 mg   J2503
Injection, pegademase bovine, 25 iu   J2504
Injection, pegfilgrastim, 6 mg   J2505
Injection, pegloticase, 1 mg   J2507
Injection, penicillin g procaine, aqueous, up to 600,000 units   J2510
Injection, pentastarch, 10 solution, 100 ml   J2513
Injection, pentobarbital sodium, per 50 mg   J2515
Injection, penicillin g potassium, up to 600,000 units   J2540
Injection, piperacillin sodiumtazobactam sodium, 1 gram0125 grams (1125 grams)   J2543
Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg   J2545
Injection, peramivir, 1 mg   J2547
Injection, promethazine hcl, up to 50 mg   J2550
Injection, phenobarbital sodium, up to 120 mg   J2560
Injection, plerixafor, 1 mg   J2562
Injection, oxytocin, up to 10 units   J2590
Injection, desmopressin acetate, per 1 mcg   J2597
Injection, prednisolone acetate, up to 1 ml   J2650
Injection, tolazoline hcl, up to 25 mg   J2670
Injection, progesterone, per 50 mg   J2675
Injection, fluphenazine decanoate, up to 25 mg   J2680
Injection, procainamide hcl, up to 1 gm   J2690
Injection, oxacillin sodium, up to 250 mg   J2700
Injection, propofol, 10 mg   J2704
Injection, neostigmine methylsulfate, up to 05 mg   J2710
Injection, protamine sulfate, per 10 mg   J2720
Injection, protein c concentrate, intravenous, human, 10 iu   J2724
Injection, protirelin, per 250 mcg   J2725
Injection, pralidoxime chloride, up to 1 gm   J2730
Injection, phentolamine mesylate, up to 5 mg   J2760
Injection, metoclopramide hcl, up to 10 mg   J2765
Injection, quinupristindalfopristin, 500 mg (150350)   J2770
Injection, ranibizumab, 01 mg   J2778
Injection, ranitidine hydrochloride, 25 mg   J2780
Injection, rasburicase, 05 mg   J2783
Injection, regadenoson, 01 mg   J2785
Injection, rho d immune globulin, human, minidose, 50 micrograms (250 iu)   J2788
Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 iu)   J2790
Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu   J2791
Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu   J2792
Injection, rilonacept, 1 mg   J2793
Injection, risperidone, long acting, 05 mg   J2794
Injection, ropivacaine hydrochloride, 1 mg   J2795
Injection, romiplostim, 10 micrograms   J2796
Injection, methocarbamol, up to 10 ml   J2800
Injection, sincalide, 5 micrograms   J2805
Injection, theophylline, per 40 mg   J2810
Injection, sargramostim (gm-csf), 50 mcg   J2820
Injection, secretin, synthetic, human, 1 microgram   J2850
Injection, siltuximab, 10 mg   J2860
Injection, aurothioglucose, up to 50 mg   J2910
Injection, sodium ferric gluconate complex in sucrose injection, 125 mg   J2916
Injection, methylprednisolone sodium succinate, up to 40 mg   J2920
Injection, methylprednisolone sodium succinate, up to 125 mg   J2930
Injection, somatrem, 1 mg   J2940
Injection, somatropin, 1 mg   J2941
Injection, promazine hcl, up to 25 mg   J2950
Injection, reteplase, 181 mg   J2993
Injection, streptokinase, per 250,000 iu   J2995
Injection, alteplase recombinant, 1 mg   J2997
Injection, streptomycin, up to 1 gm   J3000
Injection, fentanyl citrate, 01 mg   J3010
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)   J3030
Injection, taliglucerace alfa, 10 units   J3060
Injection, pentazocine, 30 mg   J3070
Injection, tedizolid phosphate, 1 mg   J3090
Injection, telavancin, 10 mg   J3095
Injection, tenecteplase, 1 mg   J3101
Injection, terbutaline sulfate, up to 1 mg   J3105
Injection, teriparatide, 10 mcg   J3110
Injection, testosterone enanthate, 1 mg   J3121
Injection, testosterone undecanoate, 1 mg   J3145
Injection, chlorpromazine hcl, up to 50 mg   J3230
Injection, thyrotropin alpha, 09 mg, provided in 11 mg vial   J3240
Injection, tigecycline, 1 mg   J3243
Injection, tirofiban hcl, 025 mg   J3246
Injection, trimethobenzamide hcl, up to 200 mg   J3250
Injection, tobramycin sulfate, up to 80 mg   J3260
Injection, tocilizumab, 1 mg   J3262
Injection, torsemide, 10 mgml   J3265
Injection, thiethylperazine maleate, up to 10 mg   J3280
Injection, treprostinil, 1 mg   J3285
Injection, triamcinolone acetonide, preservative free, 1 mg   J3300
Injection, triamcinolone acetonide, not otherwise specified, 10 mg   J3301
Injection, triamcinolone diacetate, per 5 mg   J3302
Injection, triamcinolone hexacetonide, per 5 mg   J3303
Injection, trimetrexate glucuronate, per 25 mg   J3305
Injection, perphenazine, up to 5 mg   J3310
Injection, triptorelin pamoate, 375 mg   J3315
Injection, spectinomycin dihydrochloride, up to 2 gm   J3320
Injection, urea, up to 40 gm   J3350
Injection, urofollitropin, 75 iu   J3355
Ustekinumab, for subcutaneous injection, 1 mg   J3357
Injection, diazepam, up to 5 mg   J3360
Injection, urokinase, 5000 iu vial   J3364
Injection, iv, urokinase, 250,000 iu vial   J3365
Injection, vancomycin hcl, 500 mg   J3370
Injection, vedolizumab, 1 mg   J3380
Injection, velaglucerase alfa, 100 units   J3385
Injection, verteporfin, 01 mg   J3396
Injection, triflupromazine hcl, up to 20 mg   J3400
Injection, hydroxyzine hcl, up to 25 mg   J3410
Injection, thiamine hcl, 100 mg   J3411
Injection, pyridoxine hcl, 100 mg   J3415
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg   J3420
Injection, phytonadione (vitamin k), per 1 mg   J3430
Injection, voriconazole, 10 mg   J3465
Injection, hyaluronidase, up to 150 units   J3470
Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units)   J3471
Injection, hyaluronidase, ovine, preservative free, per 1000 usp units   J3472
Injection, hyaluronidase, recombinant, 1 usp unit   J3473
Injection, magnesium sulfate, per 500 mg   J3475
Injection, potassium chloride, per 2 meq   J3480
Injection, zidovudine, 10 mg   J3485
Injection, ziprasidone mesylate, 10 mg   J3486
Injection, zoledronic acid, 1 mg   J3489
Unclassified drugs   J3490
Edetate disodium, per 150 mg   J3520
Nasal vaccine inhalation   J3530
Drug administered through a metered dose inhaler   J3535
Laetrile, amygdalin, vitamin b17   J3570
Unclassified biologics   J3590
Infusion, normal saline solution , 1000 cc   J7030
Infusion, normal saline solution, sterile (500 ml 1 unit)   J7040
5 dextrosenormal saline (500 ml 1 unit)   J7042
Infusion, normal saline solution, 250 cc   J7050
5 dextrosewater (500 ml 1 unit)   J7060
Infusion, d5w, 1000 cc   J7070
Infusion, dextran 40, 500 ml   J7100
Infusion, dextran 75, 500 ml   J7110
Ringers lactate infusion, up to 1000 cc   J7120
5 dextrose in lactated ringers infusion, up to 1000 cc   J7121
Hypertonic saline solution, 1 ml   J7131
Injection, human fibrinogen concentrate, 1 mg   J7178
Injection, factor xiii (antihemophilic factor, human), 1 iu   J7180
Injection, factor xiii a-subunit, (recombinant), per iu   J7181
Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu   J7182
Injection, von willebrand factor complex (human), wilate, 1 iu vwfrco   J7183
Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per iu   J7185
Injection, antihemophilic factor viiivon willebrand factor complex (human), per factor viii iu   J7186
Injection, von willebrand factor complex (humate-p), per iu vwfrco   J7187
Injection, factor viii (antihemophilic factor, recombinant), (obizur), per iu   J7188
Factor viia (antihemophilic factor, recombinant), per 1 microgram   J7189
Factor viii (antihemophilic factor, human) per iu   J7190
Factor viii (antihemophilic factor (porcine)), per iu   J7191
Factor viii (antihemophilic factor, recombinant) per iu, not otherwise specified   J7192
Factor ix (antihemophilic factor, purified, non-recombinant) per iu   J7193
Factor ix, complex, per iu   J7194
Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified   J7195
Injection, antithrombin recombinant, 50 iu   J7196
Antithrombin iii (human), per iu   J7197
Anti-inhibitor, per iu   J7198
Hemophilia clotting factor, not otherwise classified   J7199
Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu   J7200
Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 iu   J7201
Injection, factor viii fc fusion protein (recombinant), per iu   J7205
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg   J7297
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg   J7298
Intrauterine copper contraceptive   J7300
Levonorgestrel-releasing intrauterine contraceptive system (skyla), 135 mg   J7301
Contraceptive supply, hormone containing vaginal ring, each   J7303
Contraceptive supply, hormone containing patch, each   J7304
Levonorgestrel (contraceptive) implant system, including implants and supplies   J7306
Etonogestrel (contraceptive) implant system, including implant and supplies   J7307
Aminolevulinic acid hcl for topical administration, 20, single unit dosage form (354 mg)   J7308
Methyl aminolevulinate (mal) for topical administration, 168, 1 gram   J7309
Ganciclovir, 45 mg, long-acting implant   J7310
Fluocinolone acetonide, intravitreal implant   J7311
Injection, dexamethasone, intravitreal implant, 01 mg   J7312
Injection, fluocinolone acetonide, intravitreal implant, 001 mg   J7313
Mitomycin, ophthalmic, 02 mg   J7315
Injection, ocriplasmin, 0125 mg   J7316
   Q9950
supplies for self-administered,   A4211
Insertion tray,   A4310 - A4316
Insertion tray without drainage bag and without catheter (accessories only)   A4310
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc)   A4311
Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone   A4312
Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation   A4313
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc)   A4314
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone   A4315
Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation   A4316
Insulin,   J1815, J1817
Alpha,   J9212 - J9215
Injection, interferon alfacon-1, recombinant, 1 microgram   J9212
Injection, interferon, alfa-2a, recombinant, 3 million units   J9213
Injection, interferon, alfa-2b, recombinant, 1 million units   J9214
Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu   J9215
Beta-1a,   J1826, Q3027, Q3028
Beta-1b,   J1830
Gamma,   J9216
assist device with continuous positive airway pressure device,   E0470 - E0472
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, eg, nasal or facial mask (intermittent assist device with continuous positive airway pressure device)   E0470
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, eg, nasal or facial mask (intermittent assist device with continuous positive airway pressure device)   E0471
Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, eg, tracheostomy tube (intermittent assist device with continuous positive airway pressure device)   E0472
limb compression device,   E0676
peritoneal dialysis system,   E1592
positive pressure breathing (IPPB) machine,   E0500
Interphalangeal joint, prosthetic implant,   L8658, L8659
endoskeletal,   L6570
upper limb,   L6350 - L6370
Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm   L6350
Interscapular thoracic, passive restoration (complete prosthesis)   L6360
Interscapular thoracic, passive restoration (shoulder cap only)   L6370
Intraconazole,   J1835
Intraocular lenses,   V2630 - V2632
Anterior chamber intraocular lens   V2630
Iris supported intraocular lens   V2631
Posterior chamber intraocular lens   V2632
Intrapulmonary percussive ventilation system,   E0481
Intrauterine copper contraceptive,   J7300
Inversioneversion correction device,   A9285
Iodine Iobenguane sulfate I-131,   A9508
Iodine I-123 iobenguane,   A9582
Iodine I-123 ioflupane,   A9584
Iodine I-123 sodium iodide,   A9509, A9516
Iodine I-125 serum albumin,   A9532
Iodine I-125 sodium iodide,   A9527
Iodine I-125 sodium iothalamate,   A9554
Iodine I-131 iodinated serum albumin,   A9524
Iodine I-131 sodium iodide capsule,   A9517, A9528
Iodine I-131 sodium iodide solution,   A9529 - A9531
Iodine i-131 sodium iodide solution, diagnostic, per millicurie   A9529
Iodine i-131 sodium iodide solution, therapeutic, per millicurie   A9530
Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)   A9531
Iodine swabswipes,   A4247
system,   E1592
IPPB machine,   E0500
Ipilimumab,   J9228
Ipratropium bromide, inhalation solution, unit dose,   J7644, J7645
Irinotecan,   J9205, J9206
Iron Dextran,   J1750
Iron sucrose,   J1756
control unit,   E0350
disposable supplies for,   E0352
manual pump enema,   A4459
Irrigation solution for bladder calculi,   Q2004
Irrigation supplies,   A4320 - A4322 , A4355, A4397 - A4400
Irrigation tray with bulb or piston syringe, any purpose   A4320
Therapeutic agent for urinary catheter irrigation   A4321
Irrigation syringe, bulb or piston, each   A4322
Irrigation supply sleeve, each   A4397
Ostomy irrigation supply bag, each   A4398
Ostomy irrigation supply conecatheter, with or without brush   A4399
Ostomy irrigation set   A4400
   J1833
Isoetharine HCL, inhalation solution, concentrated,   J7647, J7648
Isoetharine HCL, inhalation solution, unit dose,   J7649, J7650
Isolates,   B4150, B4152
Isoproterenol HCL, inhalation solution, concentrated,   J7657, J7658
Isoproterenol HCL, inhalation solution, unit dose,   J7659, J7660
Isosulfan blue,   Q9968
IV pole, each,   E0776, K0105
Ixabepilone,   J9207