CCS Clinical Classifications - Medications (Injections, infusions and other forms)
The following table lists codes that belong to the Medications (Injections, infusions and other forms) Clinical Classification:
Code | Description |
---|---|
HCPCS A4802 | Protamine sulfate, for hemodialysis, per 50 mg |
HCPCS A9150 | Non-prescription drugs |
HCPCS A9152 | Single vitamin/mineral/trace element, oral, per dose, not otherwise specified |
HCPCS A9153 | Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified |
HCPCS A9581 | Injection, gadoxetate disodium, 1 ml |
HCPCS A9582 | Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries |
HCPCS A9583 | Injection, gadofosveset trisodium, 1 ml |
HCPCS A9604 | Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries |
HCPCS C1178 | INJECTION, BUSULFAN, PER 6 MG |
HCPCS C8950 | INTRAVENOUS INFUSION FOR THERAPY/DIAGNOSIS; UP TO 1 HOUR |
HCPCS C8951 | INTRAVENOUS INFUSION FOR THERAPY/DIAGNOSIS; EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO C8950) |
HCPCS C8952 | THERAPEUTIC, PROPHYLACTIC OR DIAGNOSTIC INJECTION; INTRAVENOUS PUSH OF EACH NEW SUBSTANCE/DRUG |
HCPCS C8953 | CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS; PUSH TECHNIQUE |
HCPCS C8954 | CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS; INFUSION TECHNIQUE, UP TO ONE HOUR |
HCPCS C8955 | CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS; INFUSION TECHNIQUE, EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO C8954) |
HCPCS C8957 | Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump |
HCPCS C9000 | INJECTION, SODIUM CHROMATE CR51, PER 0.25 MCI |
HCPCS C9003 | PALIVIZUMAB-RSV-IGM, PER 50 MG |
HCPCS C9007 | BACLOFEN INTRATHECAL SCREENING KIT (1 AMP) |
HCPCS C9008 | BACLOFEN INTRATHECAL REFILL KIT, PER 500 MCG |
HCPCS C9009 | BACLOFEN INTRATHECAL REFILL KIT, PER 2000 MCG |
HCPCS C9105 | INJECTION, HEPATITIS B IMMUNE GLOBULIN, PER 1 ML |
HCPCS C9109 | INJECTION, TIROFIBAN HYDROCHLORIDE, 6.25 MG |
HCPCS C9112 | INJECTION, PERFLUTREN LIPID MICROSPHERE, PER 2 ML VIAL |
HCPCS C9113 | Injection, pantoprazole sodium, per vial |
HCPCS C9121 | Injection, argatroban, per 5 mg |
HCPCS C9124 | INJECTION, DAPTOMYCIN, PER 1 MG |
HCPCS C9125 | INJECTION, RISPERIDONE, PER 12.5 MG |
HCPCS C9126 | INJECTION, NATALIZUMAB, PER 5 MG |
HCPCS C9127 | INJECTION, PACLITAXEL PROTEIN-BOUND PARTICLES, PER 1 MG |
HCPCS C9128 | INJECTION, PEGAPTANIB SODIUM, PER 0.3 MG |
HCPCS C9129 | INJECTION, CLOFARABINE, PER 1 MG |
HCPCS C9202 | INJECTION, SUSPENSION OF MICROSPHERES OF HUMAN SERUM ALBUMIN WITH OCTAFLUOROPROPANE, PER 3 ML |
HCPCS C9203 | INJECTION, PERFLEXANE LIPID MICROSPHERES, PER 10 ML VIAL |
HCPCS C9205 | INJECTION, OXALIPLATIN, PER 5 MG |
HCPCS C9207 | INJECTION, BORTEZOMIB, PER 3.5 MG |
HCPCS C9208 | INJECTION, AGALSIDASE BETA, PER 1 MG |
HCPCS C9209 | INJECTION, LARONIDASE, PER 2.9 MG |
HCPCS C9210 | INJECTION, PALONOSETRON HYDROCHLORIDE, PER 250 MCG |
HCPCS C9211 | INJECTION, ALEFACEPT, FOR INTRAVENOUS USE, PER 7.5 MG |
HCPCS C9212 | INJECTION, ALEFACEPT, FOR INTRAMUSCULAR USE, PER 7.5 MG |
HCPCS C9213 | INJECTION, PEMETREXED, PER 10 MG |
HCPCS C9214 | INJECTION, BEVACIZUMAB, PER 10 MG |
HCPCS C9215 | INJECTION, CETUXIMAB, PER 10 MG |
HCPCS C9216 | INJECTION, ABARELIX FOR INJECTABLE SUSPENSION, PER 10 MG |
HCPCS C9217 | INJECTION, OMALIZUMAB, PER 5 MG |
HCPCS C9218 | INJECTION, AZACITIDINE, PER 1 MG |
HCPCS C9219 | MYCOPHENOLIC ACID, ORAL, PER 180 MG |
HCPCS C9220 | SODIUM HYALURONATE PER 30 MG DOSE, FOR INTRA-ARTICULAR INJECTION |
HCPCS C9223 | INJECTION, ADENOSINE FOR THERAPEUTIC OR DIAGNOSTIC USE, 6 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS, INSTEAD USE A9270) |
HCPCS C9224 | INJECTION, GALSULFASE, PER 5 MG |
HCPCS C9225 | INJECTION, FLUOCINOLONE ACETONIDE INTRAVITREAL IMPLANT, PER 0.59 MG |
HCPCS C9226 | INJECTION, ZICONOTIDE FOR INTRATHECAL INFUSION, PER 5 MCG |
HCPCS C9232 | INJECTION, IDURSULFASE, 1 MG |
HCPCS C9233 | INJECTION, RANIBIZUMAB, 0.5 MG |
HCPCS C9234 | INJECTION, ALGLUCOSIDASE ALFA, 10 MG |
HCPCS C9235 | INJECTION, PANITUMUMAB, 10 MG |
HCPCS C9236 | INJECTION, ECULIZUMAB, 10 MG |
HCPCS C9237 | INJECTION, LANREOTIDE ACETATE, 1 MG |
HCPCS C9238 | INJECTION, LEVETIRACETAM, 10 MG |
HCPCS C9239 | INJECTION, TEMSIROLIMUS, 1 MG |
HCPCS C9240 | INJECTION, IXABEPILONE, 1 MG |
HCPCS C9241 | INJECTION, DORIPENEM, 10 MG |
HCPCS C9242 | INJECTION, FOSAPREPITANT, 1 MG |
HCPCS C9243 | INJECTION, BENDAMUSTINE HCL, 1 MG |
HCPCS C9244 | INJECTION, REGADENOSON, 0.4 MG |
HCPCS C9245 | INJECTION, ROMIPLOSTIM, 10 MCG |
HCPCS C9246 | INJECTION, GADOXETATE DISODIUM, PER ML |
HCPCS C9247 | IOBENGUANE, I-123, DIAGNOSTIC, PER STUDY DOSE, UP TO 10 MILLICURIES |
HCPCS C9248 | Injection, clevidipine butyrate, 1 mg |
HCPCS C9249 | INJECTION, CERTOLIZUMAB PEGOL, 1 MG |
HCPCS C9251 | INJECTION, C1 ESTERASE INHIBITOR (HUMAN), 10 UNITS |
HCPCS C9252 | INJECTION, PLERIXAFOR, 1 MG |
HCPCS C9253 | INJECTION, TEMOZOLOMIDE, 1 MG |
HCPCS C9254 | Injection, lacosamide, 1 mg |
HCPCS C9255 | Injection, paliperidone palmitate, 1 mg |
HCPCS C9256 | Injection, dexamethasone intravitreal implant, 0.1 mg |
HCPCS C9257 | Injection, bevacizumab, 0.25 mg |
HCPCS C9258 | Injection, telavancin, 10 mg |
HCPCS C9259 | Injection, pralatrexate, 1 mg |
HCPCS C9260 | Injection, ofatumumab, 10 mg |
HCPCS C9261 | Injection, ustekinumab, 1 mg |
HCPCS C9262 | Fludarabine phosphate, oral, 1 mg |
HCPCS C9263 | Injection, ecallantide, 1 mg |
HCPCS C9264 | Injection, tocilizumab, 1 mg |
HCPCS C9265 | Injection, romidepsin, 1 mg |
HCPCS C9266 | Injection, collagenase clostridium histolyticum, 0.1 mg |
HCPCS C9267 | Injection, von willebrand factor complex (human), wilate, per 100 iu vwf: rco |
HCPCS C9268 | Capsaicin, patch, 10cm2 |
HCPCS C9269 | Injection, c-1 esterase inhibitor (human), berinert, 10 units |
HCPCS C9270 | Injection, immune globulin (gammaplex), intravenous, non-lyophilized (e.g. liquid), 500 mg |
HCPCS C9271 | Injection, velaglucerase alfa, 100 units |
HCPCS C9272 | Injection, denosumab, 1 mg |
HCPCS C9273 | Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion |
HCPCS C9274 | Crotalidae polyvalent immune fab (ovine), 1 vial |
HCPCS C9275 | Injection, hexaminolevulinate hydrochloride, 100 mg, per study dose |
HCPCS C9276 | Injection, cabazitaxel, 1 mg |
HCPCS C9277 | Injection, alglucosidase alfa (lumizyme), 1 mg |
HCPCS C9278 | Injection, incobotulinumtoxin a, 1 unit |
HCPCS C9279 | Injection, ibuprofen, 100 mg |
HCPCS C9280 | Injection, eribulin mesylate, 1 mg |
HCPCS C9281 | Injection, pegloticase, 1 mg |
HCPCS C9282 | Injection, ceftaroline fosamil, 10 mg |
HCPCS C9283 | Injection, acetaminophen, 10 mg |
HCPCS C9284 | Injection, ipilimumab, 1 mg |
HCPCS C9285 | Lidocaine 70 mg/tetracaine 70 mg, per patch |
HCPCS C9286 | Injection, belatacept, 1 mg |
HCPCS C9287 | Injection, brentuximab vedotin, 1 mg |
HCPCS C9288 | Injection, centruroides (scorpion) immune f(ab)2 (equine), 1 vial |
HCPCS C9289 | Injection, asparaginase erwinia chrysanthemi, 1,000 international units (i.u.) |
HCPCS C9290 | Injection, bupivacaine liposome, 1 mg |
HCPCS C9291 | Injection, aflibercept, 2 mg vial |
HCPCS C9292 | Injection, pertuzumab, 10 mg |
HCPCS C9293 | Injection, glucarpidase, 10 units |
HCPCS C9294 | Injection, taliglucerase alfa, 10 units |
HCPCS C9295 | Injection, carfilzomib, 1 mg |
HCPCS C9296 | Injection, ziv-aflibercept, 1 mg |
HCPCS C9399 | Unclassified drugs or biologicals |
HCPCS C9410 | INJECTION, DEXRAZOXANE HYDROCHLORIDE, BRAND NAME, PER 250 MG |
HCPCS C9411 | INJECTION, PAMIDRONATE DISODIUM, BRAND NAME, PER 30 MG |
HCPCS C9412 | GANCICLOVIR, 4.5 MG, LONG-ACTING IMPLANT, BRAND NAME |
HCPCS C9413 | SODIUM HYALURONATE, PER 20 TO 25 MG DOSE FOR INTRA-ARTICULAR INJECTION, BRAND NAME |
HCPCS C9414 | ETOPOSIDE, ORAL, BRAND NAME, 50 MG |
HCPCS C9415 | DOXORUBICIN HCL, BRAND NAME, 10 MG |
HCPCS C9417 | BLEOMYCIN SULFATE, BRAND NAME, 15 UNITS |
HCPCS C9418 | CISPLATIN, POWDER OR S0LUTION, BRAND NAME, PER 10 MG |
HCPCS C9419 | INJECTION, CLADRIBINE, BRAND NAME, PER 1 MG |
HCPCS C9420 | CYCLOPHOSPHAMIDE, BRAND NAME, 100 MG |
HCPCS C9421 | CYCLOPHOSPHAMIDE, LYOPHILIZED, BRAND NAME, 100 MG |
HCPCS C9422 | CYTARABINE, BRAND NAME, 100 MG |
HCPCS C9423 | DACARBAZINE, BRAND NAME, 100 MG |
HCPCS C9424 | DAUNORUBICIN, BRAND NAME, 10 MG |
HCPCS C9425 | ETOPOSIDE, BRAND NAME, 10 MG |
HCPCS C9426 | FLOXURIDINE, BRAND NAME, 500 MG |
HCPCS C9427 | IFOSFAMIDE, BRAND NAME, 1 GM |
HCPCS C9428 | MESNA, BRAND NAME, 200 MG |
HCPCS C9429 | IDARUBICIN HYDROCHLORIDE, BRAND NAME, 5 MG |
HCPCS C9430 | LEUPROLIDE ACETATE, BRAND NAME, PER 1 MG |
HCPCS C9431 | PACLITAXEL, BRAND NAME, 30 MG |
HCPCS C9432 | MITOMYCIN, BRAND NAME, 5 MG |
HCPCS C9433 | THIOTEPA, BRAND NAME, 15 MG |
HCPCS C9435 | INJECTION, GONADORELIN HYDROCHLORIDE, BRAND NAME, PER 100 MCG |
HCPCS C9436 | AZATHIOPRINE, PARENTERAL, BRAND NAME, PER 100 MG |
HCPCS C9437 | CARMUSTINE, BRAND NAME, 100 MG |
HCPCS C9438 | CYCLOSPORINE, ORAL, BRAND NAME, 100 MG |
HCPCS C9439 | DIETHYLSTILBESTROL DIPHOSPHATE, BRAND NAME, 250 MG |
HCPCS C9440 | VINORELBINE TARTRATE, BRAND NAME, PER 10 MG |
HCPCS G0292 | ADMINISTRATION(S) OF EXPERIMENTAL DRUG(S) ONLY IN A MEDICARE QUALIFYING |
HCPCS G0333 | Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary |
HCPCS G0351 | THERAPEUTIC OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); SUBCUTANEOUS OR INTRAMUSCULAR |
HCPCS G0369 | PHARMACY SUPPLY FEE FOR INITIAL IMMUNOSUPPRESSIVE DRUG(S) FIRST MONTH FOLLOWING |
HCPCS G0370 | PHARMACY SUPPLY FEE FOR ORAL ANTI-CANCER, ORAL ANTI-EMETIC OR IMMUNOSUPPRESSIVE |
HCPCS G0371 | PHARMACY DISPENSING FEE FOR INHALATION DRUG(S); PER 30 DAYS |
HCPCS G0374 | PHARMACY DISPENSING FEE FOR INHALATION DRUG(S); PER 90 DAYS |
HCPCS G0377 | ADMINISTRATION OF VACCINE FOR PART D DRUG |
HCPCS G0429 | Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy) |
HCPCS G3001 | Administration and supply of tositumomab, 450 mg |
HCPCS G9147 | Outpatient intravenous insulin treatment (oivit) either pulsatile or continuous, by any means, guided by the results of measurements for: respiratory quotient; and/or, urine urea nitrogen (uun); and/or, arterial, venous or capillary glucose; and/or potassium concentration |
HCPCS J0120 | Injection, tetracycline, up to 250 mg |
HCPCS J0128 | Injection, abarelix, 10 mg |
HCPCS 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) |
HCPCS J0130 | Injection abciximab, 10 mg |
HCPCS J0131 | Injection, acetaminophen, not otherwise specified,10 mg |
HCPCS J0132 | Injection, acetylcysteine, 100 mg |
HCPCS J0133 | Injection, acyclovir, 5 mg |
HCPCS J0135 | Injection, adalimumab, 20 mg |
HCPCS J0150 | Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270) |
HCPCS J0152 | Injection, adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a9270) |
HCPCS J0170 | Injection, adrenalin, epinephrine, up to 1 ml ampule |
HCPCS J0171 | Injection, adrenalin, epinephrine, 0.1 mg |
HCPCS J0178 | Injection, aflibercept, 1 mg |
HCPCS J0180 | Injection, agalsidase beta, 1 mg |
HCPCS J0190 | Injection, biperiden lactate, per 5 mg |
HCPCS J0200 | Injection, alatrofloxacin mesylate, 100 mg |
HCPCS J0205 | Injection, alglucerase, per 10 units |
HCPCS J0207 | Injection, amifostine, 500 mg |
HCPCS J0210 | Injection, methyldopate hcl, up to 250 mg |
HCPCS J0215 | Injection, alefacept, 0.5 mg |
HCPCS J0220 | Injection, alglucosidase alfa, 10 mg, not otherwise specified |
HCPCS J0221 | Injection, alglucosidase alfa, (lumizyme), 10 mg |
HCPCS J0256 | Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg |
HCPCS J0257 | Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg |
HCPCS 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) |
HCPCS 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) |
HCPCS J0278 | Injection, amikacin sulfate, 100 mg |
HCPCS J0280 | Injection, aminophyllin, up to 250 mg |
HCPCS J0282 | Injection, amiodarone hydrochloride, 30 mg |
HCPCS J0285 | Injection, amphotericin b, 50 mg |
HCPCS J0287 | Injection, amphotericin b lipid complex, 10 mg |
HCPCS J0288 | Injection, amphotericin b cholesteryl sulfate complex, 10 mg |
HCPCS J0289 | Injection, amphotericin b liposome, 10 mg |
HCPCS J0290 | Injection, ampicillin sodium, 500 mg |
HCPCS J0295 | Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
HCPCS J0300 | Injection, amobarbital, up to 125 mg |
HCPCS J0330 | Injection, succinylcholine chloride, up to 20 mg |
HCPCS J0348 | Injection, anidulafungin, 1 mg |
HCPCS J0350 | Injection, anistreplase, per 30 units |
HCPCS J0360 | Injection, hydralazine hcl, up to 20 mg |
HCPCS J0364 | Injection, apomorphine hydrochloride, 1 mg |
HCPCS J0365 | Injection, aprotonin, 10,000 kiu |
HCPCS J0380 | Injection, metaraminol bitartrate, per 10 mg |
HCPCS J0390 | Injection, chloroquine hydrochloride, up to 250 mg |
HCPCS J0395 | Injection, arbutamine hcl, 1 mg |
HCPCS J0400 | Injection, aripiprazole, intramuscular, 0.25 mg |
HCPCS J0456 | Injection, azithromycin, 500 mg |
HCPCS J0460 | INJECTION, ATROPINE SULFATE, UP TO 0.3 MG |
HCPCS J0461 | Injection, atropine sulfate, 0.01 mg |
HCPCS J0470 | Injection, dimercaprol, per 100 mg |
HCPCS J0475 | Injection, baclofen, 10 mg |
HCPCS J0476 | Injection, baclofen, 50 mcg for intrathecal trial |
HCPCS J0480 | Injection, basiliximab, 20 mg |
HCPCS J0485 | Injection, belatacept, 1 mg |
HCPCS J0490 | Injection, belimumab, 10 mg |
HCPCS J0500 | Injection, dicyclomine hcl, up to 20 mg |
HCPCS J0515 | Injection, benztropine mesylate, per 1 mg |
HCPCS J0520 | Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg |
HCPCS J0530 | INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS |
HCPCS J0540 | INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS |
HCPCS J0550 | INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 2,400,000 UNITS |
HCPCS J0558 | Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
HCPCS J0559 | Injection, penicillin g benzathine and penicillin g procaine, 2500 units |
HCPCS J0560 | Injection, penicillin g benzathine, up to 600,000 units |
HCPCS J0561 | Injection, penicillin g benzathine, 100,000 units |
HCPCS J0570 | Buprenorphine implant, 74.2 mg |
HCPCS J0580 | Injection, penicillin g benzathine, up to 2,400,000 units |
HCPCS J0583 | Injection, bivalirudin, 1 mg |
HCPCS J0585 | Injection, onabotulinumtoxina, 1 unit |
HCPCS J0586 | Injection, abobotulinumtoxina, 5 units |
HCPCS J0587 | Injection, rimabotulinumtoxinb, 100 units |
HCPCS J0588 | Injection, incobotulinumtoxin a, 1 unit |
HCPCS J0592 | Injection, buprenorphine hydrochloride, 0.1 mg |
HCPCS J0594 | injection, busulfan, 1 mg |
HCPCS J0595 | Injection, butorphanol tartrate, 1 mg |
HCPCS J0597 | Injection, c-1 esterase inhibitor (human), berinert, 10 units |
HCPCS J0598 | Injection, c-1 esterase inhibitor (human), cinryze, 10 units |
HCPCS J0600 | Injection, edetate calcium disodium, up to 1000 mg |
HCPCS J0610 | Injection, calcium gluconate (fresenius kabi), per 10 ml |
HCPCS J0620 | Injection, calcium glycerophosphate and calcium lactate, per 10 ml |
HCPCS J0630 | Injection, calcitonin salmon, up to 400 units |
HCPCS J0636 | Injection, calcitriol, 0.1 mcg |
HCPCS J0637 | Injection, caspofungin acetate, 5 mg |
HCPCS J0638 | Injection, canakinumab, 1 mg |
HCPCS J0640 | Injection, leucovorin calcium, per 50 mg |
HCPCS J0641 | Injection, levoleucovorin, not otherwise specified, 0.5 mg |
HCPCS J0670 | Injection, mepivacaine hydrochloride, per 10 ml |
HCPCS J0690 | Injection, cefazolin sodium, 500 mg |
HCPCS J0692 | Injection, cefepime hydrochloride, 500 mg |
HCPCS J0694 | Injection, cefoxitin sodium, 1 gm |
HCPCS J0696 | Injection, ceftriaxone sodium, per 250 mg |
HCPCS J0697 | Injection, sterile cefuroxime sodium, per 750 mg |
HCPCS J0698 | Injection, cefotaxime sodium, per gm |
HCPCS J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
HCPCS J0704 | Injection, betamethasone sodium phosphate, per 4 mg |
HCPCS J0706 | Injection, caffeine citrate, 5 mg |
HCPCS J0710 | Injection, cephapirin sodium, up to 1 gm |
HCPCS J0712 | Injection, ceftaroline fosamil, 10 mg |
HCPCS J0713 | Injection, ceftazidime, per 500 mg |
HCPCS J0715 | Injection, ceftizoxime sodium, per 500 mg |
HCPCS J0716 | Injection, centruroides immune f(ab)2, up to 120 milligrams |
HCPCS J0718 | Injection, certolizumab pegol, 1 mg |
HCPCS J0720 | Injection, chloramphenicol sodium succinate, up to 1 gm |
HCPCS J0725 | Injection, chorionic gonadotropin, per 1,000 usp units |
HCPCS J0735 | Injection, clonidine hydrochloride, 1 mg |
HCPCS J0740 | Injection, cidofovir, 375 mg |
HCPCS J0743 | Injection, cilastatin sodium; imipenem, per 250 mg |
HCPCS J0744 | Injection, ciprofloxacin for intravenous infusion, 200 mg |
HCPCS J0745 | Injection, codeine phosphate, per 30 mg |
HCPCS J0760 | Injection, colchicine, per 1 mg |
HCPCS J0770 | Injection, colistimethate sodium, up to 150 mg |
HCPCS J0775 | Injection, collagenase, clostridium histolyticum, 0.01 mg |
HCPCS J0780 | Injection, prochlorperazine, up to 10 mg |
HCPCS J0795 | Injection, corticorelin ovine triflutate, 1 microgram |
HCPCS J0800 | Injection, corticotropin, up to 40 units |
HCPCS J0833 | Injection, cosyntropin, not otherwise specified, 0.25 mg |
HCPCS J0834 | Injection, cosyntropin, 0.25 mg |
HCPCS J0835 | INJECTION, COSYNTROPIN, PER 0.25 MG |
HCPCS J0850 | Injection, cytomegalovirus immune globulin intravenous (human), per vial |
HCPCS J0878 | Injection, daptomycin, 1 mg |
HCPCS J0880 | INJECTION, DARBEPOETIN ALFA, 5 MCG |
HCPCS J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) |
HCPCS J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
HCPCS J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units |
HCPCS J0886 | Injection, epoetin alfa, 1000 units (for esrd on dialysis) |
HCPCS J0890 | Injection, peginesatide, 0.1 mg (for esrd on dialysis) |
HCPCS J0894 | Injection, decitabine, 1 mg |
HCPCS J0895 | Injection, deferoxamine mesylate, 500 mg |
HCPCS J0897 | Injection, denosumab, 1 mg |
HCPCS J0900 | Injection, testosterone enanthate and estradiol valerate, up to 1 cc |
HCPCS J0945 | Injection, brompheniramine maleate, per 10 mg |
HCPCS J0970 | Injection, estradiol valerate, up to 40 mg |
HCPCS J1000 | Injection, depo-estradiol cypionate, up to 5 mg |
HCPCS J1020 | Injection, methylprednisolone acetate, 20 mg |
HCPCS J1030 | Injection, methylprednisolone acetate, 40 mg |
HCPCS J1040 | Injection, methylprednisolone acetate, 80 mg |
HCPCS J1050 | Injection, medroxyprogesterone acetate, 1 mg |
HCPCS J1051 | Injection, medroxyprogesterone acetate, 50 mg |
HCPCS J1055 | Injection, medroxyprogesterone acetate for contraceptive use, 150 mg |
HCPCS J1056 | Injection, medroxyprogesterone acetate / estradiol cypionate, 5mg / 25mg |
HCPCS J1060 | Injection, testosterone cypionate and estradiol cypionate, up to 1 ml |
HCPCS J1070 | Injection, testosterone cypionate, up to 100 mg |
HCPCS J1080 | Injection, testosterone cypionate, 1 cc, 200 mg |
HCPCS J1094 | Injection, dexamethasone acetate, 1 mg |
HCPCS J1100 | Injection, dexamethasone sodium phosphate, 1 mg |
HCPCS J1110 | Injection, dihydroergotamine mesylate, per 1 mg |
HCPCS J1120 | Injection, acetazolamide sodium, up to 500 mg |
HCPCS J1160 | Injection, digoxin, up to 0.5 mg |
HCPCS J1162 | Injection, digoxin immune fab (ovine), per vial |
HCPCS J1165 | Injection, phenytoin sodium, per 50 mg |
HCPCS J1170 | Injection, hydromorphone, up to 4 mg |
HCPCS J1180 | Injection, dyphylline, up to 500 mg |
HCPCS J1190 | Injection, dexrazoxane hydrochloride, per 250 mg |
HCPCS J1200 | Injection, diphenhydramine hcl, up to 50 mg |
HCPCS J1205 | Injection, chlorothiazide sodium, per 500 mg |
HCPCS J1212 | Injection, dmso, dimethyl sulfoxide, 50%, 50 ml |
HCPCS J1230 | Injection, methadone hcl, up to 10 mg |
HCPCS J1240 | Injection, dimenhydrinate, up to 50 mg |
HCPCS J1245 | Injection, dipyridamole, per 10 mg |
HCPCS J1250 | Injection, dobutamine hydrochloride, per 250 mg |
HCPCS J1260 | Injection, dolasetron mesylate, 10 mg |
HCPCS J1265 | Injection, dopamine hcl, 40 mg |
HCPCS J1267 | Injection, doripenem, 10 mg |
HCPCS J1270 | Injection, doxercalciferol, 1 mcg |
HCPCS J1290 | Injection, ecallantide, 1 mg |
HCPCS J1300 | Injection, eculizumab, 10 mg |
HCPCS J1320 | Injection, amitriptyline hcl, up to 20 mg |
HCPCS J1324 | Injection, enfuvirtide, 1 mg |
HCPCS J1325 | Injection, epoprostenol, 0.5 mg |
HCPCS J1327 | Injection, eptifibatide, 5 mg |
HCPCS J1330 | Injection, ergonovine maleate, up to 0.2 mg |
HCPCS J1335 | Injection, ertapenem sodium, 500 mg |
HCPCS J1364 | Injection, erythromycin lactobionate, per 500 mg |
HCPCS J1380 | Injection, estradiol valerate, up to 10 mg |
HCPCS J1390 | Injection, estradiol valerate, up to 20 mg |
HCPCS J1410 | Injection, estrogen conjugated, per 25 mg |
HCPCS J1430 | Injection, ethanolamine oleate, 100 mg |
HCPCS J1435 | Injection, estrone, per 1 mg |
HCPCS J1436 | Injection, etidronate disodium, per 300 mg |
HCPCS 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) |
HCPCS J1440 | Fecal microbiota, live - jslm, 1 ml |
HCPCS J1441 | Injection, filgrastim (g-csf), 480 mcg |
HCPCS J1450 | Injection fluconazole, 200 mg |
HCPCS J1451 | Injection, fomepizole, 15 mg |
HCPCS J1452 | Injection, fomivirsen sodium, intraocular, 1.65 mg |
HCPCS J1453 | Injection, fosaprepitant, 1 mg |
HCPCS J1455 | Injection, foscarnet sodium, per 1000 mg |
HCPCS J1457 | Injection, gallium nitrate, 1 mg |
HCPCS J1458 | Injection, galsulfase, 1 mg |
HCPCS J1459 | Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg |
HCPCS J1460 | Injection, gamma globulin, intramuscular, 1 cc |
HCPCS J1470 | Injection, gamma globulin, intramuscular, 2 cc |
HCPCS J1480 | Injection, gamma globulin, intramuscular, 3 cc |
HCPCS J1490 | Injection, gamma globulin, intramuscular, 4 cc |
HCPCS J1500 | Injection, gamma globulin, intramuscular, 5 cc |
HCPCS J1510 | Injection, gamma globulin, intramuscular, 6 cc |
HCPCS J1520 | Injection, gamma globulin, intramuscular, 7 cc |
HCPCS J1530 | Injection, gamma globulin, intramuscular, 8 cc |
HCPCS J1540 | Injection, gamma globulin, intramuscular, 9 cc |
HCPCS J1550 | Injection, gamma globulin, intramuscular, 10 cc |
HCPCS J1557 | Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg |
HCPCS J1559 | Injection, immune globulin (hizentra), 100 mg |
HCPCS J1560 | Injection, gamma globulin, intramuscular, over 10 cc |
HCPCS J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg |
HCPCS J1562 | Injection, immune globulin (vivaglobin), 100 mg |
HCPCS J1563 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G |
HCPCS J1564 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 10 MG |
HCPCS J1565 | INJECTION, RESPIRATORY SYNCYTIAL VIRUS IMMUNE GLOBULIN, INTRAVENOUS, 50 MG |
HCPCS J1566 | Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg |
HCPCS J1567 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG |
HCPCS J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg |
HCPCS J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg |
HCPCS J1570 | Injection, ganciclovir sodium, 500 mg |
HCPCS J1571 | Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml |
HCPCS J1572 | Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg |
HCPCS J1573 | Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml |
HCPCS J1580 | Injection, garamycin, gentamicin, up to 80 mg |
HCPCS J1590 | Injection, gatifloxacin, 10 mg |
HCPCS J1595 | Injection, glatiramer acetate, 20 mg |
HCPCS J1599 | Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg |
HCPCS J1600 | Injection, gold sodium thiomalate, up to 50 mg |
HCPCS J1610 | Injection, glucagon hydrochloride, per 1 mg |
HCPCS J1620 | Injection, gonadorelin hydrochloride, per 100 mcg |
HCPCS J1626 | Injection, granisetron hydrochloride, 100 mcg |
HCPCS J1630 | Injection, haloperidol, up to 5 mg |
HCPCS J1631 | Injection, haloperidol decanoate, per 50 mg |
HCPCS J1640 | Injection, hemin, 1 mg |
HCPCS J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units |
HCPCS J1644 | Injection, heparin sodium, per 1000 units |
HCPCS J1645 | Injection, dalteparin sodium, per 2500 iu |
HCPCS J1650 | Injection, enoxaparin sodium, 10 mg |
HCPCS J1652 | Injection, fondaparinux sodium, 0.5 mg |
HCPCS J1655 | Injection, tinzaparin sodium, 1000 iu |
HCPCS J1670 | Injection, tetanus immune globulin, human, up to 250 units |
HCPCS J1675 | Injection, histrelin acetate, 10 micrograms |
HCPCS J1680 | Injection, human fibrinogen concentrate, 100 mg |
HCPCS J1700 | Injection, hydrocortisone acetate, up to 25 mg |
HCPCS J1710 | Injection, hydrocortisone sodium phosphate, up to 50 mg |
HCPCS J1720 | Injection, hydrocortisone sodium succinate, up to 100 mg |
HCPCS J1725 | Injection, hydroxyprogesterone caproate, 1 mg |
HCPCS J1730 | Injection, diazoxide, up to 300 mg |
HCPCS J1740 | Injection, ibandronate sodium, 1 mg |
HCPCS J1741 | Injection, ibuprofen, 100 mg |
HCPCS J1742 | Injection, ibutilide fumarate, 1 mg |
HCPCS J1743 | Injection, idursulfase, 1 mg |
HCPCS J1744 | Injection, icatibant, 1 mg |
HCPCS J1745 | Injection, infliximab, excludes biosimilar, 10 mg |
HCPCS J1750 | Injection, iron dextran, 50 mg |
HCPCS J1751 | INJECTION, IRON DEXTRAN 165, 50 MG |
HCPCS J1752 | INJECTION, IRON DEXTRAN 267, 50 MG |
HCPCS J1756 | Injection, iron sucrose, 1 mg |
HCPCS J1785 | Injection, imiglucerase, per unit |
HCPCS J1786 | Injection, imiglucerase, 10 units |
HCPCS J1790 | Injection, droperidol, up to 5 mg |
HCPCS J1800 | Injection, propranolol hcl, up to 1 mg |
HCPCS J1810 | Injection, droperidol and fentanyl citrate, up to 2 ml ampule |
HCPCS J1815 | Injection, insulin, per 5 units |
HCPCS J1817 | Insulin for administration through dme (i.e., insulin pump) per 50 units |
HCPCS J1825 | Injection, interferon beta-1a, 33 mcg |
HCPCS J1826 | Injection, interferon beta-1a, 30 mcg |
HCPCS 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) |
HCPCS J1835 | Injection, itraconazole, 50 mg |
HCPCS J1840 | Injection, kanamycin sulfate, up to 500 mg |
HCPCS J1850 | Injection, kanamycin sulfate, up to 75 mg |
HCPCS J1885 | Injection, ketorolac tromethamine, per 15 mg |
HCPCS J1890 | Injection, cephalothin sodium, up to 1 gram |
HCPCS J1930 | Injection, lanreotide, 1 mg |
HCPCS J1931 | Injection, laronidase, 0.1 mg |
HCPCS J1940 | Injection, furosemide, up to 20 mg |
HCPCS J1945 | Injection, lepirudin, 50 mg |
HCPCS J1950 | Injection, leuprolide acetate (for depot suspension), per 3.75 mg |
HCPCS J1953 | Injection, levetiracetam, 10 mg |
HCPCS J1955 | Injection, levocarnitine, per 1 gm |
HCPCS J1956 | Injection, levofloxacin, 250 mg |
HCPCS J1960 | Injection, levorphanol tartrate, up to 2 mg |
HCPCS J1980 | Injection, hyoscyamine sulfate, up to 0.25 mg |
HCPCS J1990 | Injection, chlordiazepoxide hcl, up to 100 mg |
HCPCS J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg |
HCPCS J2010 | Injection, lincomycin hcl, up to 300 mg |
HCPCS J2020 | Injection, linezolid, 200 mg |
HCPCS J2060 | Injection, lorazepam, 2 mg |
HCPCS J2150 | Injection, mannitol, 25% in 50 ml |
HCPCS J2170 | Injection, mecasermin, 1 mg |
HCPCS J2175 | Injection, meperidine hydrochloride, per 100 mg |
HCPCS J2180 | Injection, meperidine and promethazine hcl, up to 50 mg |
HCPCS J2185 | Injection, meropenem, 100 mg |
HCPCS J2210 | Injection, methylergonovine maleate, up to 0.2 mg |
HCPCS J2212 | Injection, methylnaltrexone, 0.1 mg |
HCPCS J2248 | Injection, micafungin sodium, 1 mg |
HCPCS J2250 | Injection, midazolam hydrochloride, per 1 mg |
HCPCS J2260 | Injection, milrinone lactate, 5 mg |
HCPCS J2265 | Injection, minocycline hydrochloride, 1 mg |
HCPCS J2270 | Injection, morphine sulfate, up to 10 mg |
HCPCS J2271 | Injection, morphine sulfate, 100mg |
HCPCS J2275 | Injection, morphine sulfate (preservative-free sterile solution), per 10 mg |
HCPCS J2278 | Injection, ziconotide, 1 microgram |
HCPCS J2280 | Injection, moxifloxacin, 100 mg |
HCPCS J2300 | Injection, nalbuphine hydrochloride, per 10 mg |
HCPCS J2310 | Injection, naloxone hydrochloride, per 1 mg |
HCPCS J2315 | Injection, naltrexone, depot form, 1 mg |
HCPCS J2320 | Injection, nandrolone decanoate, up to 50 mg |
HCPCS J2321 | Injection, nandrolone decanoate, up to 100 mg |
HCPCS J2322 | Injection, nandrolone decanoate, up to 200 mg |
HCPCS J2323 | Injection, natalizumab, 1 mg |
HCPCS J2324 | INJECTION, NESIRITIDE, 0.25 MG |
HCPCS J2325 | Injection, nesiritide, 0.1 mg |
HCPCS J2353 | Injection, octreotide, depot form for intramuscular injection, 1 mg |
HCPCS J2354 | Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg |
HCPCS J2355 | Injection, oprelvekin, 5 mg |
HCPCS J2357 | Injection, omalizumab, 5 mg |
HCPCS J2358 | Injection, olanzapine, long-acting, 1 mg |
HCPCS J2360 | Injection, orphenadrine citrate, up to 60 mg |
HCPCS J2370 | Injection, phenylephrine hcl, up to 1 ml |
HCPCS J2400 | Injection, chloroprocaine hydrochloride, per 30 ml |
HCPCS J2405 | Injection, ondansetron hydrochloride, per 1 mg |
HCPCS J2410 | Injection, oxymorphone hcl, up to 1 mg |
HCPCS J2425 | Injection, palifermin, 50 micrograms |
HCPCS J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
HCPCS J2430 | Injection, pamidronate disodium, per 30 mg |
HCPCS J2440 | Injection, papaverine hcl, up to 60 mg |
HCPCS J2460 | Injection, oxytetracycline hcl, up to 50 mg |
HCPCS J2469 | Injection, palonosetron hcl, 25 mcg |
HCPCS J2501 | Injection, paricalcitol, 1 mcg |
HCPCS J2503 | Injection, pegaptanib sodium, 0.3 mg |
HCPCS J2504 | Injection, pegademase bovine, 25 iu |
HCPCS J2505 | Injection, pegfilgrastim, 6 mg |
HCPCS J2507 | Injection, pegloticase, 1 mg |
HCPCS J2510 | Injection, penicillin g procaine, aqueous, up to 600,000 units |
HCPCS J2513 | Injection, pentastarch, 10% solution, 100 ml |
HCPCS J2515 | Injection, pentobarbital sodium, per 50 mg |
HCPCS J2540 | Injection, penicillin g potassium, up to 600,000 units |
HCPCS J2543 | Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
HCPCS J2545 | Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg |
HCPCS J2550 | Injection, promethazine hcl, up to 50 mg |
HCPCS J2560 | Injection, phenobarbital sodium, up to 120 mg |
HCPCS J2562 | Injection, plerixafor, 1 mg |
HCPCS J2590 | Injection, oxytocin, up to 10 units |
HCPCS J2597 | Injection, desmopressin acetate, per 1 mcg |
HCPCS J2650 | Injection, prednisolone acetate, up to 1 ml |
HCPCS J2670 | Injection, tolazoline hcl, up to 25 mg |
HCPCS J2675 | Injection, progesterone, per 50 mg |
HCPCS J2680 | Injection, fluphenazine decanoate, up to 25 mg |
HCPCS J2690 | Injection, procainamide hcl, up to 1 gm |
HCPCS J2700 | Injection, oxacillin sodium, up to 250 mg |
HCPCS J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg |
HCPCS J2720 | Injection, protamine sulfate, per 10 mg |
HCPCS J2724 | Injection, protein c concentrate, intravenous, human, 10 iu |
HCPCS J2725 | Injection, protirelin, per 250 mcg |
HCPCS J2730 | Injection, pralidoxime chloride, up to 1 gm |
HCPCS J2760 | Injection, phentolamine mesylate, up to 5 mg |
HCPCS J2765 | Injection, metoclopramide hcl, up to 10 mg |
HCPCS J2770 | Injection, quinupristin/dalfopristin, 500 mg (150/350) |
HCPCS J2778 | Injection, ranibizumab, 0.1 mg |
HCPCS J2780 | Injection, ranitidine hydrochloride, 25 mg |
HCPCS J2783 | Injection, rasburicase, 0.5 mg |
HCPCS J2785 | Injection, regadenoson, 0.1 mg |
HCPCS J2788 | Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) |
HCPCS J2790 | Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) |
HCPCS J2791 | Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu |
HCPCS J2792 | Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu |
HCPCS J2793 | Injection, rilonacept, 1 mg |
HCPCS J2794 | Injection, risperidone (risperdal consta), 0.5 mg |
HCPCS J2795 | Injection, ropivacaine hydrochloride, 1 mg |
HCPCS J2796 | Injection, romiplostim, 10 micrograms |
HCPCS J2800 | Injection, methocarbamol, up to 10 ml |
HCPCS J2805 | Injection, sincalide, 5 micrograms |
HCPCS J2810 | Injection, theophylline, per 40 mg |
HCPCS J2820 | Injection, sargramostim (gm-csf), 50 mcg |
HCPCS J2850 | Injection, secretin, synthetic, human, 1 microgram |
HCPCS J2910 | Injection, aurothioglucose, up to 50 mg |
HCPCS J2912 | INJECTION, SODIUM CHLORIDE, 0.9%, PER 2 ML |
HCPCS J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
HCPCS J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg |
HCPCS J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg |
HCPCS J2940 | Injection, somatrem, 1 mg |
HCPCS J2941 | Injection, somatropin, 1 mg |
HCPCS J2950 | Injection, promazine hcl, up to 25 mg |
HCPCS J2993 | Injection, reteplase, 18.1 mg |
HCPCS J2995 | Injection, streptokinase, per 250,000 iu |
HCPCS J2997 | Injection, alteplase recombinant, 1 mg |
HCPCS J3000 | Injection, streptomycin, up to 1 gm |
HCPCS J3010 | Injection, fentanyl citrate, 0.1 mg |
HCPCS 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) |
HCPCS J3070 | Injection, pentazocine, 30 mg |
HCPCS J3095 | Injection, telavancin, 10 mg |
HCPCS J3100 | INJECTION, TENECTEPLASE, 50MG |
HCPCS J3101 | Injection, tenecteplase, 1 mg |
HCPCS J3105 | Injection, terbutaline sulfate, up to 1 mg |
HCPCS J3110 | Injection, teriparatide, 10 mcg |
HCPCS J3120 | Injection, testosterone enanthate, up to 100 mg |
HCPCS J3130 | Injection, testosterone enanthate, up to 200 mg |
HCPCS J3140 | Injection, testosterone suspension, up to 50 mg |
HCPCS J3150 | Injection, testosterone propionate, up to 100 mg |
HCPCS J3230 | Injection, chlorpromazine hcl, up to 50 mg |
HCPCS J3240 | Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial |
HCPCS J3243 | Injection, tigecycline, 1 mg |
HCPCS J3245 | Injection, tildrakizumab, 1 mg |
HCPCS J3246 | Injection, tirofiban hcl, 0.25 mg |
HCPCS J3250 | Injection, trimethobenzamide hcl, up to 200 mg |
HCPCS J3260 | Injection, tobramycin sulfate, up to 80 mg |
HCPCS J3262 | Injection, tocilizumab, 1 mg |
HCPCS J3265 | Injection, torsemide, 10 mg/ml |
HCPCS J3280 | Injection, thiethylperazine maleate, up to 10 mg |
HCPCS J3285 | Injection, treprostinil, 1 mg |
HCPCS J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg |
HCPCS J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
HCPCS J3302 | Injection, triamcinolone diacetate, per 5 mg |
HCPCS J3303 | Injection, triamcinolone hexacetonide, per 5 mg |
HCPCS J3305 | Injection, trimetrexate glucuronate, per 25 mg |
HCPCS J3310 | Injection, perphenazine, up to 5 mg |
HCPCS J3315 | Injection, triptorelin pamoate, 3.75 mg |
HCPCS J3320 | Injection, spectinomycin dihydrochloride, up to 2 gm |
HCPCS J3350 | Injection, urea, up to 40 gm |
HCPCS J3355 | Injection, urofollitropin, 75 iu |
HCPCS J3357 | Ustekinumab, for subcutaneous injection, 1 mg |
HCPCS J3360 | Injection, diazepam, up to 5 mg |
HCPCS J3364 | Injection, urokinase, 5000 iu vial |
HCPCS J3365 | Injection, iv, urokinase, 250,000 i.u. vial |
HCPCS J3370 | Injection, vancomycin hcl, 500 mg |
HCPCS J3385 | Injection, velaglucerase alfa, 100 units |
HCPCS J3395 | INJECTION, VERTEPORFIN, 15MG |
HCPCS J3396 | Injection, verteporfin, 0.1 mg |
HCPCS J3400 | Injection, triflupromazine hcl, up to 20 mg |
HCPCS J3410 | Injection, hydroxyzine hcl, up to 25 mg |
HCPCS J3411 | Injection, thiamine hcl, 100 mg |
HCPCS J3415 | Injection, pyridoxine hcl, 100 mg |
HCPCS J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
HCPCS J3430 | Injection, phytonadione (vitamin k), per 1 mg |
HCPCS J3465 | Injection, voriconazole, 10 mg |
HCPCS J3470 | Injection, hyaluronidase, up to 150 units |
HCPCS J3471 | Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) |
HCPCS J3472 | Injection, hyaluronidase, ovine, preservative free, per 1000 usp units |
HCPCS J3473 | Injection, hyaluronidase, recombinant, 1 usp unit |
HCPCS J3475 | Injection, magnesium sulfate, per 500 mg |
HCPCS J3480 | Injection, potassium chloride, per 2 meq |
HCPCS J3485 | Injection, zidovudine, 10 mg |
HCPCS J3486 | Injection, ziprasidone mesylate, 10 mg |
HCPCS J3487 | Injection, zoledronic acid (zometa), 1 mg |
HCPCS J3488 | Injection, zoledronic acid (reclast), 1 mg |
HCPCS J3490 | Unclassified drugs |
HCPCS J3520 | Edetate disodium, per 150 mg |
HCPCS J3530 | Nasal vaccine inhalation |
HCPCS J3535 | Drug administered through a metered dose inhaler |
HCPCS J3570 | Laetrile, amygdalin, vitamin b17 |
HCPCS J3590 | Unclassified biologics |
HCPCS J7030 | Infusion, normal saline solution , 1000 cc |
HCPCS J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) |
HCPCS J7042 | 5% dextrose/normal saline (500 ml = 1 unit) |
HCPCS J7050 | Infusion, normal saline solution, 250 cc |
HCPCS J7051 | STERILE SALINE OR WATER, UP TO 5 CC |
HCPCS J7060 | 5% dextrose/water (500 ml = 1 unit) |
HCPCS J7070 | Infusion, d5w, 1000 cc |
HCPCS J7100 | Infusion, dextran 40, 500 ml |
HCPCS J7110 | Infusion, dextran 75, 500 ml |
HCPCS J7120 | Ringers lactate infusion, up to 1000 cc |
HCPCS J7130 | Hypertonic saline solution, 50 or 100 meq, 20 cc vial |
HCPCS J7131 | Hypertonic saline solution, 1 ml |
HCPCS J7178 | Injection, human fibrinogen concentrate, not otherwise specified, 1 mg |
HCPCS J7180 | Injection, factor xiii (antihemophilic factor, human), 1 i.u. |
HCPCS J7183 | Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco |
HCPCS J7184 | Injection, von willebrand factor complex (human), wilate, per 100 iu vwf:rco |
HCPCS J7185 | Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. |
HCPCS J7186 | Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. |
HCPCS J7187 | Injection, von willebrand factor complex (humate-p), per iu vwf:rco |
HCPCS J7188 | Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. |
HCPCS J7189 | Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram |
HCPCS J7190 | Factor viii (antihemophilic factor, human) per i.u. |
HCPCS J7191 | Factor viii (antihemophilic factor (porcine)), per i.u. |
HCPCS J7192 | Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified |
HCPCS J7193 | Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. |
HCPCS J7194 | Factor ix, complex, per i.u. |
HCPCS J7195 | Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified |
HCPCS J7196 | Injection, antithrombin recombinant, 50 i.u. |
HCPCS J7197 | Antithrombin iii (human), per i.u. |
HCPCS J7198 | Anti-inhibitor, per i.u. |
HCPCS J7199 | Hemophilia clotting factor, not otherwise classified |
HCPCS J7300 | Intrauterine copper contraceptive |
HCPCS J7302 | Levonorgestrel-releasing intrauterine contraceptive system, 52 mg |
HCPCS J7303 | Contraceptive supply, hormone containing vaginal ring, each |
HCPCS J7304 | Contraceptive supply, hormone containing patch, each |
HCPCS J7306 | Levonorgestrel (contraceptive) implant system, including implants and supplies |
HCPCS J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies |
HCPCS J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) |
HCPCS J7309 | Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram |
HCPCS J7310 | Ganciclovir, 4.5 mg, long-acting implant |
HCPCS J7311 | Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg |
HCPCS J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg |
HCPCS J7315 | Mitomycin, ophthalmic, 0.2 mg |
HCPCS J7317 | SODIUM HYALURONATE, PER 20 TO 25 MG DOSE FOR INTRA-ARTICULAR INJECTION |
HCPCS J7319 | HYALURONAN (SODIUM HYALURONATE) OR DERIVATIVE, INTRA-ARTICULAR INJECTION, PER INJECTION |
HCPCS J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg |
HCPCS J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
HCPCS J7322 | Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg |
HCPCS J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
HCPCS J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
HCPCS J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg |
HCPCS J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose |
HCPCS J7330 | Autologous cultured chondrocytes, implant |
HCPCS J7335 | Capsaicin 8% patch, per 10 square centimeters |
HCPCS J7340 | Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml |
HCPCS J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg |
HCPCS J7346 | DERMAL (SUBSTITUTE) TISSUE OF HUMAN ORIGIN, INJECTABLE, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, BUT WITHOUT METABOLICALLY ACTIVE ELEMENTS, 1 CC |
HCPCS J7347 | DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (INTEGRA MATRIX), PER SQUARE CENTIMETER |
HCPCS J7348 | DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (TISSUEMEND), PER SQUARE CENTIMETER |
HCPCS J7349 | DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER |
HCPCS J7350 | DERMAL (SUBSTITUTE) TISSUE OF HUMAN ORIGIN, INJECTABLE, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, BUT WITHOUT METABOLIZED ACTIVE ELEMENTS, PER 10 MG |
HCPCS J7500 | Azathioprine, oral, 50 mg |
HCPCS J7501 | Azathioprine, parenteral, 100 mg |
HCPCS J7502 | Cyclosporine, oral, 100 mg |
HCPCS J7504 | Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg |
HCPCS J7505 | Muromonab-cd3, parenteral, 5 mg |
HCPCS J7506 | Prednisone, oral, per 5 mg |
HCPCS J7507 | Tacrolimus, immediate release, oral, 1 mg |
HCPCS J7509 | Methylprednisolone oral, per 4 mg |
HCPCS J7510 | Prednisolone oral, per 5 mg |
HCPCS J7511 | Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg |
HCPCS J7513 | Daclizumab, parenteral, 25 mg |
HCPCS J7515 | Cyclosporine, oral, 25 mg |
HCPCS J7516 | Injection, cyclosporine, 250 mg |
HCPCS J7517 | Mycophenolate mofetil, oral, 250 mg |
HCPCS J7518 | Mycophenolic acid, oral, 180 mg |
HCPCS J7520 | Sirolimus, oral, 1 mg |
HCPCS J7525 | Tacrolimus, parenteral, 5 mg |
HCPCS J7527 | Everolimus, oral, 0.25 mg |
HCPCS J7599 | Immunosuppressive drug, not otherwise classified |
HCPCS J7602 | ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL) |
HCPCS J7603 | ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL) |
HCPCS J7604 | Acetylcysteine, inhalation solution, compounded product, administered through dme, unit dose form, per gram |
HCPCS J7605 | Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
HCPCS J7606 | Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms |
HCPCS J7607 | Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mg |
HCPCS J7608 | Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram |
HCPCS J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
HCPCS J7610 | Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
HCPCS J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
HCPCS J7612 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg |
HCPCS J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
HCPCS J7614 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
HCPCS J7615 | Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg |
HCPCS J7616 | ALBUTEROL, UP TO 5 MG AND IPRATROPIUM BROMIDE, UP TO 1 MG, COMPOUNDED INHALATION SOLUTION, ADMINISTERED THROUGH DME |
HCPCS J7617 | LEVALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 1 MG, COMPOUNDED INHALATION SOLUTION, ADMINISTERED THROUGH DME |
HCPCS J7618 | ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL) |
HCPCS J7619 | ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL) |
HCPCS J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
HCPCS J7621 | ALBUTEROL, ALL FORMULATIONS, INCLUDING SEPARATED ISOMERS, UP TO 5 MG (ALBUTEROL) OR 2.5 MG (LEVOALBUTEROL), AND IPRATROPIUM BROMIDE, UP TO 1 MG, COMPOUNDED INHALATION SOLUTION, ADMINISTERED THROUGH DME |
HCPCS J7622 | Beclomethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
HCPCS J7624 | Betamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
HCPCS J7626 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
HCPCS J7627 | Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg |
HCPCS J7628 | Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
HCPCS J7629 | Bitolterol mesylate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
HCPCS J7631 | Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams |
HCPCS J7632 | Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams |
HCPCS J7633 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram |
HCPCS J7634 | Budesonide, inhalation solution, compounded product, administered through dme, concentrated form, per 0.25 milligram |
HCPCS J7635 | Atropine, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
HCPCS J7636 | Atropine, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
HCPCS J7637 | Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
HCPCS J7638 | Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
HCPCS J7639 | Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
HCPCS J7640 | Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms |
HCPCS J7641 | Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram |
HCPCS J7642 | Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
HCPCS J7643 | Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
HCPCS J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
HCPCS J7645 | Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
HCPCS J7647 | Isoetharine hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
HCPCS J7648 | Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram |
HCPCS J7649 | Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
HCPCS J7650 | Isoetharine hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
HCPCS J7657 | Isoproterenol hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
HCPCS J7658 | Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram |
HCPCS J7659 | Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
HCPCS J7660 | Isoproterenol hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
HCPCS J7665 | Mannitol, administered through an inhaler, 5 mg |
HCPCS J7667 | Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligrams |
HCPCS J7668 | Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 10 milligrams |
HCPCS J7669 | Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams |
HCPCS J7670 | Metaproterenol sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams |
HCPCS J7674 | Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg |
HCPCS J7676 | Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg |
HCPCS J7680 | Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
HCPCS J7681 | Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
HCPCS J7682 | Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams |
HCPCS J7683 | Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
HCPCS J7684 | Triamcinolone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
HCPCS J7685 | Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams |
HCPCS J7686 | Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg |
HCPCS J7699 | Noc drugs, inhalation solution administered through dme |
HCPCS J7799 | Noc drugs, other than inhalation drugs, administered through dme |
HCPCS J8498 | Antiemetic drug, rectal/suppository, not otherwise specified |
HCPCS J8499 | Prescription drug, oral, non chemotherapeutic, nos |
HCPCS J8501 | Aprepitant, oral, 5 mg |
HCPCS J8510 | Busulfan; oral, 2 mg |
HCPCS J8515 | Cabergoline, oral, 0.25 mg |
HCPCS J8520 | Capecitabine, oral, 150 mg |
HCPCS J8521 | Capecitabine, oral, 500 mg |
HCPCS J8530 | Cyclophosphamide; oral, 25 mg |
HCPCS J8540 | Dexamethasone, oral, 0.25 mg |
HCPCS J8560 | Etoposide; oral, 50 mg |
HCPCS J8561 | Everolimus, oral, 0.25 mg |
HCPCS J8562 | Fludarabine phosphate, oral, 10 mg |
HCPCS J8565 | Gefitinib, oral, 250 mg |
HCPCS J8597 | Antiemetic drug, oral, not otherwise specified |
HCPCS J8600 | Melphalan; oral, 2 mg |
HCPCS J8610 | Methotrexate; oral, 2.5 mg |
HCPCS J8650 | Nabilone, oral, 1 mg |
HCPCS J8700 | Temozolomide, oral, 5 mg |
HCPCS J8705 | Topotecan, oral, 0.25 mg |
HCPCS J8999 | Prescription drug, oral, chemotherapeutic, nos |
HCPCS J9000 | Injection, doxorubicin hydrochloride, 10 mg |
HCPCS J9001 | Injection, doxorubicin hydrochloride, all lipid formulations, 10 mg |
HCPCS J9002 | Injection, doxorubicin hydrochloride, liposomal, doxil, 10 mg |
HCPCS J9010 | Injection, alemtuzumab, 10 mg |
HCPCS J9015 | Injection, aldesleukin, per single use vial |
HCPCS J9017 | Injection, arsenic trioxide, 1 mg |
HCPCS J9019 | Injection, asparaginase (erwinaze), 1,000 iu |
HCPCS J9020 | Injection, asparaginase, not otherwise specified, 10,000 units |
HCPCS J9025 | Injection, azacitidine, 1 mg |
HCPCS J9027 | Injection, clofarabine, 1 mg |
HCPCS J9031 | Bcg (intravesical) per instillation |
HCPCS J9033 | Injection, bendamustine hydrochloride, 1 mg |
HCPCS J9035 | Injection, bevacizumab, 10 mg |
HCPCS J9040 | Injection, bleomycin sulfate, 15 units |
HCPCS J9041 | Injection, bortezomib, 0.1 mg |
HCPCS J9042 | Injection, brentuximab vedotin, 1 mg |
HCPCS J9043 | Injection, cabazitaxel, 1 mg |
HCPCS J9045 | Injection, carboplatin, 50 mg |
HCPCS J9050 | Injection, carmustine, 100 mg |
HCPCS J9055 | Injection, cetuximab, 10 mg |
HCPCS J9060 | Injection, cisplatin, powder or solution, 10 mg |
HCPCS J9062 | Cisplatin, 50 mg |
HCPCS J9065 | Injection, cladribine, per 1 mg |
HCPCS J9070 | Cyclophosphamide, 100 mg |
HCPCS J9080 | Cyclophosphamide, 200 mg |
HCPCS J9090 | Cyclophosphamide, 500 mg |
HCPCS J9091 | Cyclophosphamide, 1.0 gram |
HCPCS J9092 | Cyclophosphamide, 2.0 gram |
HCPCS J9093 | Cyclophosphamide, lyophilized, 100 mg |
HCPCS J9094 | Cyclophosphamide, lyophilized, 200 mg |
HCPCS J9095 | Cyclophosphamide, lyophilized, 500 mg |
HCPCS J9096 | Cyclophosphamide, lyophilized, 1.0 gram |
HCPCS J9097 | Cyclophosphamide, lyophilized, 2.0 gram |
HCPCS J9098 | Injection, cytarabine liposome, 10 mg |
HCPCS J9100 | Injection, cytarabine, 100 mg |
HCPCS J9110 | Injection, cytarabine, 500 mg |
HCPCS J9120 | Injection, dactinomycin, 0.5 mg |
HCPCS J9130 | Dacarbazine, 100 mg |
HCPCS J9140 | Dacarbazine, 200 mg |
HCPCS J9150 | Injection, daunorubicin, 10 mg |
HCPCS J9151 | Injection, daunorubicin citrate, liposomal formulation, 10 mg |
HCPCS J9155 | Injection, degarelix, 1 mg |
HCPCS J9160 | Injection, denileukin diftitox, 300 micrograms |
HCPCS J9165 | Injection, diethylstilbestrol diphosphate, 250 mg |
HCPCS J9170 | INJECTION, DOCETAXEL, 20 MG |
HCPCS J9171 | Injection, docetaxel, 1 mg |
HCPCS J9175 | Injection, elliotts' b solution, 1 ml |
HCPCS J9178 | Injection, epirubicin hcl, 2 mg |
HCPCS J9179 | Injection, eribulin mesylate, 0.1 mg |
HCPCS J9181 | Injection, etoposide, 10 mg |
HCPCS J9182 | ETOPOSIDE, 100 MG |
HCPCS J9185 | Injection, fludarabine phosphate, 50 mg |
HCPCS J9190 | Injection, fluorouracil, 500 mg |
HCPCS J9200 | Injection, floxuridine, 500 mg |
HCPCS J9201 | Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg |
HCPCS J9202 | Goserelin acetate implant, per 3.6 mg |
HCPCS J9206 | Injection, irinotecan, 20 mg |
HCPCS J9207 | Injection, ixabepilone, 1 mg |
HCPCS J9208 | Injection, ifosfamide, 1 gram |
HCPCS J9209 | Injection, mesna, 200 mg |
HCPCS J9211 | Injection, idarubicin hydrochloride, 5 mg |
HCPCS J9212 | Injection, interferon alfacon-1, recombinant, 1 microgram |
HCPCS J9213 | Injection, interferon, alfa-2a, recombinant, 3 million units |
HCPCS J9214 | Injection, interferon, alfa-2b, recombinant, 1 million units |
HCPCS J9215 | Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu |
HCPCS J9216 | Injection, interferon, gamma 1-b, 3 million units |
HCPCS J9217 | Leuprolide acetate (for depot suspension), 7.5 mg |
HCPCS J9218 | Leuprolide acetate, per 1 mg |
HCPCS J9219 | Leuprolide acetate implant, 65 mg |
HCPCS J9225 | Histrelin implant (vantas), 50 mg |
HCPCS J9226 | Histrelin implant (supprelin la), 50 mg |
HCPCS J9228 | Injection, ipilimumab, 1 mg |
HCPCS J9230 | Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg |
HCPCS J9245 | Injection, melphalan hydrochloride, not otherwise specified, 50 mg |
HCPCS J9250 | Methotrexate sodium, 5 mg |
HCPCS J9260 | Injection, methotrexate sodium, 50 mg |
HCPCS J9261 | Injection, nelarabine, 50 mg |
HCPCS J9263 | Injection, oxaliplatin, 0.5 mg |
HCPCS J9264 | Injection, paclitaxel protein-bound particles, 1 mg |
HCPCS J9265 | Injection, paclitaxel, 30 mg |
HCPCS J9266 | Injection, pegaspargase, per single dose vial |
HCPCS J9268 | Injection, pentostatin, 10 mg |
HCPCS J9270 | Injection, plicamycin, 2.5 mg |
HCPCS J9280 | Injection, mitomycin, 5 mg |
HCPCS J9290 | Mitomycin, 20 mg |
HCPCS J9291 | Mitomycin, 40 mg |
HCPCS J9293 | Injection, mitoxantrone hydrochloride, per 5 mg |
HCPCS J9300 | Injection, gemtuzumab ozogamicin, 5 mg |
HCPCS J9302 | Injection, ofatumumab, 10 mg |
HCPCS J9303 | Injection, panitumumab, 10 mg |
HCPCS J9305 | Injection, pemetrexed, not otherwise specified, 10 mg |
HCPCS J9307 | Injection, pralatrexate, 1 mg |
HCPCS J9310 | Injection, rituximab, 100 mg |
HCPCS J9315 | Injection, romidepsin, 1 mg |
HCPCS J9320 | Injection, streptozocin, 1 gram |
HCPCS J9328 | Injection, temozolomide, 1 mg |
HCPCS J9330 | Injection, temsirolimus, 1 mg |
HCPCS J9340 | Injection, thiotepa, 15 mg |
HCPCS J9350 | Injection, mosunetuzumab-axgb, 1 mg |
HCPCS J9351 | Injection, topotecan, 0.1 mg |
HCPCS J9355 | Injection, trastuzumab, excludes biosimilar, 10 mg |
HCPCS J9357 | Injection, valrubicin, intravesical, 200 mg |
HCPCS J9360 | Injection, vinblastine sulfate, 1 mg |
HCPCS J9370 | Vincristine sulfate, 1 mg |
HCPCS J9375 | Vincristine sulfate, 2 mg |
HCPCS J9380 | Injection, teclistamab-cqyv, 0.5 mg |
HCPCS J9390 | Injection, vinorelbine tartrate, 10 mg |
HCPCS J9395 | Injection, fulvestrant, 25 mg |
HCPCS J9600 | Injection, porfimer sodium, 75 mg |
HCPCS J9999 | Not otherwise classified, antineoplastic drugs |
HCPCS K0415 | PRESCRIPTION ANTIEMETIC DRUG, ORAL, PER 1 MG, FOR USE IN CONJUNCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED |
HCPCS K0416 | PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUNCTION WITH ORAL ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED |
HCPCS K0672 | Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each |
HCPCS M0075 | Cellular therapy |
HCPCS Q0136 | INJECTION, EPOETIN ALPHA, (FOR NON ESRD USE), PER 1000 UNITS |
HCPCS Q0137 | INJECTION, DARBEPOETIN ALFA, 1 MCG (NON-ESRD USE) |
HCPCS Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram |
HCPCS Q0163 | Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
HCPCS Q0164 | Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0165 | Prochlorperazine maleate, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0166 | Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen |
HCPCS Q0167 | Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0168 | Dronabinol, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0169 | Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0170 | Promethazine hydrochloride, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0171 | Chlorpromazine hydrochloride, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0172 | Chlorpromazine hydrochloride, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0173 | Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0174 | Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0175 | Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0176 | Perphenazine, 8mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0177 | Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0178 | Hydroxyzine pamoate, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0179 | Ondansetron hydrochloride 8 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0180 | Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen |
HCPCS Q0181 | Unspecified oral dosage form, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for a iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
HCPCS Q0510 | Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant |
HCPCS Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
HCPCS Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
HCPCS Q0513 | Pharmacy dispensing fee for inhalation drug(s); per 30 days |
HCPCS Q0514 | Pharmacy dispensing fee for inhalation drug(s); per 90 days |
HCPCS Q0515 | Injection, sermorelin acetate, 1 microgram |
HCPCS Q2001 | ORAL, CABERGOLINE, 0.5 MG |
HCPCS Q2002 | INJECTION, ELLIOTTS B SOLUTION, PER ML |
HCPCS Q2003 | INJECTION, APROTININ, 10,000 KIU |
HCPCS Q2005 | INJECTION, CORTICORELIN OVINE TRIFLUTATE, PER DOSE |
HCPCS Q2006 | INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL |
HCPCS Q2007 | INJECTION, ETHANOLAMINE OLEATE, 100 MG |
HCPCS Q2008 | INJECTION, FOMEPIZOLE, 15 MG |
HCPCS Q2009 | Injection, fosphenytoin, 50 mg phenytoin equivalent |
HCPCS Q2011 | INJECTION, HEMIN, PER 1 MG |
HCPCS Q2012 | INJECTION, PEGADEMASE BOVINE, 25 IU |
HCPCS Q2013 | INJECTION, PENTASTARCH, 10% SOLUTION, PER 100 ML |
HCPCS Q2014 | INJECTION, SERMORELIN ACETATE, 0.5 MG |
HCPCS Q2017 | Injection, teniposide, 50 mg |
HCPCS Q2018 | INJECTION, UROFOLLITROPIN, 75 IU |
HCPCS Q2019 | INJECTION, BASILIXIMAB, 20 MG |
HCPCS Q2020 | INJECTION, HISTRELIN ACETATE, 10 MCG |
HCPCS Q2021 | INJECTION, LEPIRUDIN, 50 MG |
HCPCS Q2022 | VON WILLEBRAND FACTOR COMPLEX, HUMAN, PER IU |
HCPCS Q2023 | INJECTION, FACTOR VIII (ANTIHEMOPHILIC FACTOR, RECOMBINANT) (XYNTHA), PER I.U. |
HCPCS Q2024 | INJECTION, BEVACIZUMAB, 0.25 MG |
HCPCS Q2025 | Fludarabine phosphate, oral, 1 mg |
HCPCS Q2026 | Injection, radiesse, 0.1 ml |
HCPCS Q2027 | Injection, sculptra, 0.1 ml |
HCPCS Q2040 | Tisagenlecleucel, up to 250 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion |
HCPCS Q2041 | Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose |
HCPCS Q2042 | Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose |
HCPCS Q2043 | Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion |
HCPCS Q2044 | Injection, belimumab, 10 mg |
HCPCS Q2045 | Injection, human fibrinogen concentrate, 1 mg |
HCPCS Q2046 | Injection, aflibercept, 1 mg |
HCPCS Q2047 | Injection, peginesatide, 0.1 mg (for esrd on dialysis) |
HCPCS Q2048 | Injection, doxorubicin hydrochloride, liposomal, doxil, 10 mg |
HCPCS Q2049 | Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg |
HCPCS Q3025 | Injection, interferon beta-1a, 11 mcg for intramuscular use |
HCPCS Q3026 | Injection, interferon beta-1a, 11 mcg for subcutaneous use |
HCPCS Q4054 | INJECTION, DARBEPOETIN ALFA, 1 MCG (FOR ESRD ON DIALYSIS) |
HCPCS Q4055 | INJECTION, EPOETIN ALFA, 1000 UNITS (FOR ESRD ON DIALYSIS) |
HCPCS Q4074 | Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms |
HCPCS Q4075 | INJECTION, ACYCLOVIR, 5 MG |
HCPCS Q4076 | INJECTION, DOPAMINE HCL, 40 MG |
HCPCS Q4077 | INJECTION, TREPROSTINIL, 1 MG |
HCPCS Q4079 | INJECTION, NATALIZUMAB, 1 MG |
HCPCS Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) |
HCPCS Q4082 | Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap) |
HCPCS Q4083 | HYALURONAN OR DERIVATIVE, HYALGAN OR SUPARTZ, FOR INTRA-ARTICULAR INJECTION, PER DOSE |
HCPCS Q4084 | HYALURONAN OR DERIVATIVE, SYNVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE |
HCPCS Q4085 | HYALURONAN OR DERIVATIVE, EUFLEXXA, FOR INTRA-ARTICULAR INJECTION, PER DOSE |
HCPCS Q4086 | HYALURONAN OR DERIVATIVE, ORTHOVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE |
HCPCS Q4087 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG |
HCPCS Q4088 | INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), INTRAVENOUS, NON-LYOPHILIZED, (E.G. LIQUID), 500 MG |
HCPCS Q4089 | INJECTION, RHO(D) IMMUNE GLOBULIN (HUMAN), (RHOPHYLAC), INTRAMUSCULAR OR INTRAVENOUS, 100 IU |
HCPCS Q4090 | INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAMUSCULAR, 0.5 ML |
HCPCS Q4091 | INJECTION, IMMUNE GLOBULIN, (FLEBOGAMMA), INTRAVENOUS, NON-LYOPHILIZED, (E.G. LIQUID), 500 MG |
HCPCS Q4092 | INJECTION, IMMUNE GLOBULIN, (GAMUNEX), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG |
HCPCS Q4093 | ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL) |
HCPCS Q4094 | ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVALBUTEROL) |
HCPCS Q4095 | INJECTION, ZOLEDRONIC ACID (RECLAST), 1 MG |
HCPCS Q4096 | INJECTION, VON WILLEBRAND FACTOR COMPLEX, HUMAN, RISTOCETIN COFACTOR (NOT OTHERWISE SPECIFIED), PER I.U. VWF: RCO |
HCPCS Q4097 | INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG |
HCPCS Q4098 | INJECTION, IRON DEXTRAN, 50 MG |
HCPCS Q4099 | FORMOTEROL FUMARATE, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS |
HCPCS Q9941 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 1G |
HCPCS Q9942 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED, 10 MG |
HCPCS Q9943 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 1G |
HCPCS Q9944 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED, 10 MG |
HCPCS Q9952 | INJECTION, GADOLINIUM-BASED MAGNETIC RESONANCE CONTRAST AGENT, PER ML |
HCPCS Q9953 | Injection, iron-based magnetic resonance contrast agent, per ml |
HCPCS Q9955 | Injection, perflexane lipid microspheres, per ml |
HCPCS Q9956 | Injection, octafluoropropane microspheres, per ml |
HCPCS Q9957 | Injection, perflutren lipid microspheres, per ml |
HCPCS S0012 | Butorphanol tartrate, nasal spray, 25 mg |
HCPCS S0014 | Tacrine hydrochloride, 10 mg |
HCPCS S0016 | INJECTION, AMIKACIN SULFATE, 500 MG |
HCPCS S0017 | Injection, aminocaproic acid, 5 grams |
HCPCS S0020 | Injection, bupivicaine hydrochloride, 30 ml |
HCPCS S0021 | Injection, cefoperazone sodium, 1 gram |
HCPCS S0023 | Injection, cimetidine hydrochloride, 300 mg |
HCPCS S0028 | Injection, famotidine, 20 mg |
HCPCS S0030 | Injection, metronidazole, 500 mg |
HCPCS S0032 | Injection, nafcillin sodium, 2 grams |
HCPCS S0034 | Injection, ofloxacin, 400 mg |
HCPCS S0039 | Injection, sulfamethoxazole and trimethoprim, 10 ml |
HCPCS S0040 | Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams |
HCPCS S0071 | INJECTION, ACYCLOVIR SODIUM, 50 MG |
HCPCS S0072 | INJECTION, AMIKACIN SULFATE, 100 MG |
HCPCS S0073 | Injection, aztreonam, 500 mg |
HCPCS S0074 | Injection, cefotetan disodium, 500 mg |
HCPCS S0077 | Injection, clindamycin phosphate, 300 mg |
HCPCS S0078 | Injection, fosphenytoin sodium, 750 mg |
HCPCS S0080 | Injection, pentamidine isethionate, 300 mg |
HCPCS S0081 | Injection, piperacillin sodium, 500 mg |
HCPCS S0088 | Imatinib, 100 mg |
HCPCS S0090 | Sildenafil citrate, 25 mg |
HCPCS S0091 | Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166) |
HCPCS S0092 | Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump) |
HCPCS S0093 | Injection, morphine sulfate, 500 mg (loading dose for infusion pump) |
HCPCS S0104 | Zidovudine, oral, 100 mg |
HCPCS S0106 | Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets |
HCPCS S0107 | INJECTION, OMALIZUMAB, 25 MG |
HCPCS S0108 | Mercaptopurine, oral, 50 mg |
HCPCS S0109 | Methadone, oral, 5 mg |
HCPCS S0114 | INJECTION, TREPROSTINIL SODIUM, 0.5 MG |
HCPCS S0115 | BORTEZOMIB, 3.5 MG |
HCPCS S0116 | BEVACIZUMAB, 100 MG |
HCPCS S0117 | Tretinoin, topical, 5 grams |
HCPCS S0118 | INJECTION, ZICONOTIDE, FOR INTRATHECAL INFUSION, 1 MCG |
HCPCS S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
HCPCS S0122 | Injection, menotropins, 75 iu |
HCPCS S0126 | Injection, follitropin alfa, 75 iu |
HCPCS S0128 | Injection, follitropin beta, 75 iu |
HCPCS S0132 | Injection, ganirelix acetate, 250 mcg |
HCPCS S0133 | HISTRELIN, IMPLANT, 50 MG |
HCPCS S0136 | Clozapine, 25 mg |
HCPCS S0137 | Didanosine (ddi), 25 mg |
HCPCS S0138 | Finasteride, 5 mg |
HCPCS S0139 | Minoxidil, 10 mg |
HCPCS S0140 | Saquinavir, 200 mg |
HCPCS S0141 | ZALCITABINE (DDC), 0.375 MG |
HCPCS S0142 | Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg |
HCPCS S0143 | AZTREONAM, INHALATION SOLUTION ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER |
HCPCS S0145 | Injection, pegylated interferon alfa-2a, 180 mcg per ml |
HCPCS S0146 | Injection, pegylated interferon alfa-2b, 10 mcg per 0.5 ml |
HCPCS S0147 | INJECTION, ALGLUCOSIDASE ALFA, 20 MG |
HCPCS S0148 | Injection, pegylated interferon alfa-2b, 10 mcg |
HCPCS S0156 | Exemestane, 25 mg |
HCPCS S0157 | Becaplermin gel 0.01%, 0.5 gm |
HCPCS S0158 | INJECTION, LARONIDASE, 0.58 MG |
HCPCS S0159 | INJECTION, AGALSIDASE BETA, 35 MG |
HCPCS S0160 | Dextroamphetamine sulfate, 5 mg |
HCPCS S0161 | Calcitrol, 0.25 mg |
HCPCS S0162 | INJECTION, EFALIZUMAB, 125 MG |
HCPCS S0163 | INJECTION, RISPERIDONE, LONG ACTING, 12.5 MG |
HCPCS S0164 | Injection, pantoprazole sodium, 40 mg |
HCPCS S0165 | INJECTION, ABARELIX, 100 MG |
HCPCS S0166 | Injection, olanzapine, 2.5 mg |
HCPCS S0167 | INJECTION, APOMORPHINE HYDROCHLORIDE, 1 MG |
HCPCS S0168 | INJECTION, AZACITIDINE, 100 MG |
HCPCS S0169 | Calcitrol, 0.25 microgram |
HCPCS S0170 | Anastrozole, oral, 1 mg |
HCPCS S0171 | Injection, bumetanide, 0.5 mg |
HCPCS S0172 | Chlorambucil, oral, 2 mg |
HCPCS S0173 | DEXAMETHASONE, ORAL, 4MG |
HCPCS S0174 | Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180) |
HCPCS S0175 | Flutamide, oral, 125 mg |
HCPCS S0176 | Hydroxyurea, oral, 500 mg |
HCPCS S0177 | Levamisole hydrochloride, oral, 50 mg |
HCPCS S0178 | Lomustine, oral, 10 mg |
HCPCS S0179 | Megestrol acetate, oral, 20 mg |
HCPCS S0180 | ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM, INCLUDING IMPLANTS AND SUPPLIES |
HCPCS S0181 | Ondansetron hydrochloride, oral, 4mg (for circumstances falling under the medicare statute, use q0179) |
HCPCS S0182 | Procarbazine hydrochloride, oral, 50 mg |
HCPCS S0183 | Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164) |
HCPCS S0187 | Tamoxifen citrate, oral, 10 mg |
HCPCS S0189 | Testosterone pellet, 75 mg |
HCPCS S0190 | Mifepristone, oral, 200 mg |
HCPCS S0191 | Misoprostol, oral, 200 mcg |
HCPCS S0194 | Dialysis/stress vitamin supplement, oral, 100 capsules |
HCPCS S0197 | Prenatal vitamins, 30-day supply |
HCPCS S0198 | INJECTION, PEGAPTANIB SODIUM, 0.3 MG |
HCPCS S1090 | Mometasone furoate sinus implant, 370 micrograms |
HCPCS S2112 | Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) |
HCPCS S2113 | ARTHROSCOPY, KNEE, SURGICAL FOR IMPLANTATION OF CULTURED ANALOGOUS CHONDROCYTES |
HCPCS S2135 | NEUROLYSIS, BY INJECTION, OF METATARSAL NEUROMA/INTERDIGITAL NEURITIS, ANY |
HCPCS S2202 | Echosclerotherapy |
HCPCS S3722 | Dose optimization by area under the curve (auc) analysis, for infusional 5-fluorouracil |
HCPCS S4990 | Nicotine patches, legend |
HCPCS S4991 | Nicotine patches, non-legend |
HCPCS S4993 | Contraceptive pills for birth control |
HCPCS S4995 | Smoking cessation gum |
HCPCS S5000 | Prescription drug, generic |
HCPCS S5001 | Prescription drug, brand name |
HCPCS S5012 | 5% dextrose with potassium chloride, 1000 ml |
HCPCS S5014 | 5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml |
HCPCS S5550 | Insulin, rapid onset, 5 units |
HCPCS S5551 | Insulin, most rapid onset (lispro or aspart); 5 units |
HCPCS S5552 | Insulin, intermediate acting (nph or lente); 5 units |
HCPCS S5553 | Insulin, long acting; 5 units |
HCPCS T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
HCPCS T1503 | Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit |
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