J Codes

J0120

Injection, tetracycline, up to 250 mg

J0129

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

J0130

Injection abciximab, 10 mg

J0131

Injection, acetaminophen, 10 mg

J0132

Injection, acetylcysteine, 100 mg

J0133

Injection, acyclovir, 5 mg

J0135

Injection, adalimumab, 20 mg

J0150

Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270)

J0151

Injection, adenosine for diagnostic use, 1 mg (not to be used to report any adenosine phosphate compounds, instead use a9270)

J0152

Injection, adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a9270)

J0153

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

J0171

Injection, adrenalin, epinephrine, 0.1 mg

J0178

Injection, aflibercept, 1 mg

J0180

Injection, agalsidase beta, 1 mg

J0190

Injection, biperiden lactate, per 5 mg

J0200

Injection, alatrofloxacin mesylate, 100 mg

J0202

Injection, alemtuzumab, 1 mg

J0205

Injection, alglucerase, per 10 units

J0207

Injection, amifostine, 500 mg

J0210

Injection, methyldopate hcl, up to 250 mg

J0215

Injection, alefacept, 0.5 mg

J0220

Injection, alglucosidase alfa, 10 mg, not otherwise specified

J0221

Injection, alglucosidase alfa, (lumizyme), 10 mg

J0256

Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg

J0257

Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg

J0270

Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

J0275

Alprostadil urethral suppository (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

J0278

Injection, amikacin sulfate, 100 mg

J0280

Injection, aminophyllin, up to 250 mg

J0282

Injection, amiodarone hydrochloride, 30 mg

J0285

Injection, amphotericin b, 50 mg

J0287

Injection, amphotericin b lipid complex, 10 mg

J0288

Injection, amphotericin b cholesteryl sulfate complex, 10 mg

J0289

Injection, amphotericin b liposome, 10 mg

J0290

Injection, ampicillin sodium, 500 mg

J0295

Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm

J0300

Injection, amobarbital, up to 125 mg

J0330

Injection, succinylcholine chloride, up to 20 mg

J0348

Injection, anidulafungin, 1 mg

J0350

Injection, anistreplase, per 30 units

J0360

Injection, hydralazine hcl, up to 20 mg

J0364

Injection, apomorphine hydrochloride, 1 mg

J0365

Injection, aprotonin, 10,000 kiu

J0380

Injection, metaraminol bitartrate, per 10 mg

J0390

Injection, chloroquine hydrochloride, up to 250 mg

J0395

Injection, arbutamine hcl, 1 mg

J0400

Injection, aripiprazole, intramuscular, 0.25 mg

J0401

Injection, aripiprazole, extended release, 1 mg

J0456

Injection, azithromycin, 500 mg

J0461

Injection, atropine sulfate, 0.01 mg

J0470

Injection, dimercaprol, per 100 mg

J0475

Injection, baclofen, 10 mg

J0476

Injection, baclofen, 50 mcg for intrathecal trial

J0480

Injection, basiliximab, 20 mg

J0485

Injection, belatacept, 1 mg

J0490

Injection, belimumab, 10 mg

J0500

Injection, dicyclomine hcl, up to 20 mg

J0515

Injection, benztropine mesylate, per 1 mg

J0520

Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg

J0558

Injection, penicillin g benzathine and penicillin g procaine, 100,000 units

J0561

Injection, penicillin g benzathine, 100,000 units

J0570

Buprenorphine implant, 74.2 mg

J0571

Buprenorphine, oral, 1 mg

J0572

Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine

J0573

Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine

J0574

Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine

J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

J0583

Injection, bivalirudin, 1 mg

J0585

Injection, onabotulinumtoxina, 1 unit

J0586

Injection, abobotulinumtoxina, 5 units

J0587

Injection, rimabotulinumtoxinb, 100 units

J0588

Injection, incobotulinumtoxin a, 1 unit

J0592

Injection, buprenorphine hydrochloride, 0.1 mg

J0594

injection, busulfan, 1 mg

J0595

Injection, butorphanol tartrate, 1 mg

J0596

Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units

J0597

Injection, c-1 esterase inhibitor (human), berinert, 10 units

J0598

Injection, c-1 esterase inhibitor (human), cinryze, 10 units

J0600

Injection, edetate calcium disodium, up to 1000 mg

J0610

Injection, calcium gluconate, per 10 ml

J0620

Injection, calcium glycerophosphate and calcium lactate, per 10 ml

J0630

Injection, calcitonin salmon, up to 400 units

J0636

Injection, calcitriol, 0.1 mcg

J0637

Injection, caspofungin acetate, 5 mg

J0638

Injection, canakinumab, 1 mg

J0640

Injection, leucovorin calcium, per 50 mg

J0641

Injection, levoleucovorin calcium, 0.5 mg

J0670

Injection, mepivacaine hydrochloride, per 10 ml

J0690

Injection, cefazolin sodium, 500 mg

J0692

Injection, cefepime hydrochloride, 500 mg

J0694

Injection, cefoxitin sodium, 1 gm

J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

J0696

Injection, ceftriaxone sodium, per 250 mg

J0697

Injection, sterile cefuroxime sodium, per 750 mg

J0698

Injection, cefotaxime sodium, per gm

J0702

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg

J0706

Injection, caffeine citrate, 5 mg

J0710

Injection, cephapirin sodium, up to 1 gm

J0712

Injection, ceftaroline fosamil, 10 mg

J0713

Injection, ceftazidime, per 500 mg

J0714

Injection, ceftazidime and avibactam, 0.5 g/0.125 g

J0715

Injection, ceftizoxime sodium, per 500 mg

J0716

Injection, centruroides immune f(ab)2, up to 120 milligrams

J0717

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

J0718

Injection, certolizumab pegol, 1 mg

J0720

Injection, chloramphenicol sodium succinate, up to 1 gm

J0725

Injection, chorionic gonadotropin, per 1,000 usp units

J0735

Injection, clonidine hydrochloride, 1 mg

J0740

Injection, cidofovir, 375 mg

J0743

Injection, cilastatin sodium; imipenem, per 250 mg

J0744

Injection, ciprofloxacin for intravenous infusion, 200 mg

J0745

Injection, codeine phosphate, per 30 mg

J0760

Injection, colchicine, per 1 mg

J0770

Injection, colistimethate sodium, up to 150 mg

J0775

Injection, collagenase, clostridium histolyticum, 0.01 mg

J0780

Injection, prochlorperazine, up to 10 mg

J0795

Injection, corticorelin ovine triflutate, 1 microgram

J0800

Injection, corticotropin, up to 40 units

J0833

Injection, cosyntropin, not otherwise specified, 0.25 mg

J0834

Injection, cosyntropin (cortrosyn), 0.25 mg

J0840

Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram

J0850

Injection, cytomegalovirus immune globulin intravenous (human), per vial

J0875

Injection, dalbavancin, 5 mg

J0878

Injection, daptomycin, 1 mg

J0881

Injection, darbepoetin alfa, 1 microgram (non-esrd use)

J0882

Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)

J0883

Injection, argatroban, 1 mg (for non-esrd use)

J0884

Injection, argatroban, 1 mg (for esrd on dialysis)

J0885

Injection, epoetin alfa, (for non-esrd use), 1000 units

J0886

Injection, epoetin alfa, 1000 units (for esrd on dialysis)

J0887

Injection, epoetin beta, 1 microgram, (for esrd on dialysis)

J0888

Injection, epoetin beta, 1 microgram, (for non esrd use)

J0890

Injection, peginesatide, 0.1 mg (for esrd on dialysis)

J0894

Injection, decitabine, 1 mg

J0895

Injection, deferoxamine mesylate, 500 mg

J0897

Injection, denosumab, 1 mg

J0900

Injection, testosterone enanthate and estradiol valerate, up to 1 cc

J0945

Injection, brompheniramine maleate, per 10 mg

J1000

Injection, depo-estradiol cypionate, up to 5 mg

J1020

Injection, methylprednisolone acetate, 20 mg

J1030

Injection, methylprednisolone acetate, 40 mg

J1040

Injection, methylprednisolone acetate, 80 mg

J1050

Injection, medroxyprogesterone acetate, 1 mg

J1060

Injection, testosterone cypionate and estradiol cypionate, up to 1 ml

J1070

Injection, testosterone cypionate, up to 100 mg

J1071

Injection, testosterone cypionate, 1 mg

J1080

Injection, testosterone cypionate, 1 cc, 200 mg

J1094

Injection, dexamethasone acetate, 1 mg

J1100

Injection, dexamethasone sodium phosphate, 1 mg

J1110

Injection, dihydroergotamine mesylate, per 1 mg

J1120

Injection, acetazolamide sodium, up to 500 mg

J1130

Injection, diclofenac sodium, 0.5 mg

J1160

Injection, digoxin, up to 0.5 mg

J1162

Injection, digoxin immune fab (ovine), per vial

J1165

Injection, phenytoin sodium, per 50 mg

J1170

Injection, hydromorphone, up to 4 mg

J1180

Injection, dyphylline, up to 500 mg

J1190

Injection, dexrazoxane hydrochloride, per 250 mg

J1200

Injection, diphenhydramine hcl, up to 50 mg

J1205

Injection, chlorothiazide sodium, per 500 mg

J1212

Injection, dmso, dimethyl sulfoxide, 50%, 50 ml

J1230

Injection, methadone hcl, up to 10 mg

J1240

Injection, dimenhydrinate, up to 50 mg

J1245

Injection, dipyridamole, per 10 mg

J1250

Injection, dobutamine hydrochloride, per 250 mg

J1260

Injection, dolasetron mesylate, 10 mg

J1265

Injection, dopamine hcl, 40 mg

J1267

Injection, doripenem, 10 mg

J1270

Injection, doxercalciferol, 1 mcg

J1290

Injection, ecallantide, 1 mg

J1300

Injection, eculizumab, 10 mg

J1320

Injection, amitriptyline hcl, up to 20 mg

J1322

Injection, elosulfase alfa, 1 mg

J1324

Injection, enfuvirtide, 1 mg

J1325

Injection, epoprostenol, 0.5 mg

J1327

Injection, eptifibatide, 5 mg

J1330

Injection, ergonovine maleate, up to 0.2 mg

J1335

Injection, ertapenem sodium, 500 mg

J1364

Injection, erythromycin lactobionate, per 500 mg

J1380

Injection, estradiol valerate, up to 10 mg

J1410

Injection, estrogen conjugated, per 25 mg

J1430

Injection, ethanolamine oleate, 100 mg

J1435

Injection, estrone, per 1 mg

J1436

Injection, etidronate disodium, per 300 mg

J1438

Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

J1439

Injection, ferric carboxymaltose, 1 mg

J1440

Injection, filgrastim (g-csf), 300 mcg

J1441

Injection, filgrastim (g-csf), 480 mcg

J1442

Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram

J1443

Injection, ferric pyrophosphate citrate solution, 0.1 mg of iron

J1446

Injection, tbo-filgrastim, 5 micrograms

J1447

Injection, tbo-filgrastim, 1 microgram

J1450

Injection fluconazole, 200 mg

J1451

Injection, fomepizole, 15 mg

J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

J1453

Injection, fosaprepitant, 1 mg

J1455

Injection, foscarnet sodium, per 1000 mg

J1457

Injection, gallium nitrate, 1 mg

J1458

Injection, galsulfase, 1 mg

J1459

Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg

J1460

Injection, gamma globulin, intramuscular, 1 cc

J1556

Injection, immune globulin (bivigam), 500 mg

J1557

Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg

J1559

Injection, immune globulin (hizentra), 100 mg

J1560

Injection, gamma globulin, intramuscular, over 10 cc

J1561

Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg

J1562

Injection, immune globulin (vivaglobin), 100 mg

J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

J1568

Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg

J1569

Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg

J1570

Injection, ganciclovir sodium, 500 mg

J1571

Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml

J1572

Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg

J1573

Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml

J1575

Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin

J1580

Injection, garamycin, gentamicin, up to 80 mg

J1590

Injection, gatifloxacin, 10 mg

J1595

Injection, glatiramer acetate, 20 mg

J1599

Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg

J1600

Injection, gold sodium thiomalate, up to 50 mg

J1602

Injection, golimumab, 1 mg, for intravenous use

J1610

Injection, glucagon hydrochloride, per 1 mg

J1620

Injection, gonadorelin hydrochloride, per 100 mcg

J1626

Injection, granisetron hydrochloride, 100 mcg

J1630

Injection, haloperidol, up to 5 mg

J1631

Injection, haloperidol decanoate, per 50 mg

J1640

Injection, hemin, 1 mg

J1642

Injection, heparin sodium, (heparin lock flush), per 10 units

J1644

Injection, heparin sodium, per 1000 units

J1645

Injection, dalteparin sodium, per 2500 iu

J1650

Injection, enoxaparin sodium, 10 mg

J1652

Injection, fondaparinux sodium, 0.5 mg

J1655

Injection, tinzaparin sodium, 1000 iu

J1670

Injection, tetanus immune globulin, human, up to 250 units

J1675

Injection, histrelin acetate, 10 micrograms

J1700

Injection, hydrocortisone acetate, up to 25 mg

J1710

Injection, hydrocortisone sodium phosphate, up to 50 mg

J1720

Injection, hydrocortisone sodium succinate, up to 100 mg

J1725

Injection, hydroxyprogesterone caproate, 1 mg

J1730

Injection, diazoxide, up to 300 mg

J1740

Injection, ibandronate sodium, 1 mg

J1741

Injection, ibuprofen, 100 mg

J1742

Injection, ibutilide fumarate, 1 mg

J1743

Injection, idursulfase, 1 mg

J1744

Injection, icatibant, 1 mg

J1745

Injection, infliximab, excludes biosimilar, 10 mg

J1750

Injection, iron dextran, 50 mg

J1756

Injection, iron sucrose, 1 mg

J1786

Injection, imiglucerase, 10 units

J1790

Injection, droperidol, up to 5 mg

J1800

Injection, propranolol hcl, up to 1 mg

J1810

Injection, droperidol and fentanyl citrate, up to 2 ml ampule

J1815

Injection, insulin, per 5 units

J1817

Insulin for administration through dme (i.e., insulin pump) per 50 units

J1826

Injection, interferon beta-1a, 30 mcg

J1830

Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

J1833

Injection, isavuconazonium, 1 mg

J1835

Injection, itraconazole, 50 mg

J1840

Injection, kanamycin sulfate, up to 500 mg

J1850

Injection, kanamycin sulfate, up to 75 mg

J1885

Injection, ketorolac tromethamine, per 15 mg

J1890

Injection, cephalothin sodium, up to 1 gram

J1930

Injection, lanreotide, 1 mg

J1931

Injection, laronidase, 0.1 mg

J1940

Injection, furosemide, up to 20 mg

J1942

Injection, aripiprazole lauroxil, 1 mg

J1945

Injection, lepirudin, 50 mg

J1950

Injection, leuprolide acetate (for depot suspension), per 3.75 mg

J1953

Injection, levetiracetam, 10 mg

J1955

Injection, levocarnitine, per 1 gm

J1956

Injection, levofloxacin, 250 mg

J1960

Injection, levorphanol tartrate, up to 2 mg

J1980

Injection, hyoscyamine sulfate, up to 0.25 mg

J1990

Injection, chlordiazepoxide hcl, up to 100 mg

J2001

Injection, lidocaine hcl for intravenous infusion, 10 mg

J2010

Injection, lincomycin hcl, up to 300 mg

J2020

Injection, linezolid, 200 mg

J2060

Injection, lorazepam, 2 mg

J2150

Injection, mannitol, 25% in 50 ml

J2170

Injection, mecasermin, 1 mg

J2175

Injection, meperidine hydrochloride, per 100 mg

J2180

Injection, meperidine and promethazine hcl, up to 50 mg

J2182

Injection, mepolizumab, 1 mg

J2185

Injection, meropenem, 100 mg

J2210

Injection, methylergonovine maleate, up to 0.2 mg

J2212

Injection, methylnaltrexone, 0.1 mg

J2248

Injection, micafungin sodium, 1 mg

J2250

Injection, midazolam hydrochloride, per 1 mg

J2260

Injection, milrinone lactate, 5 mg

J2265

Injection, minocycline hydrochloride, 1 mg

J2270

Injection, morphine sulfate, up to 10 mg

J2271

Injection, morphine sulfate, 100mg

J2274

Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg

J2275

Injection, morphine sulfate (preservative-free sterile solution), per 10 mg

J2278

Injection, ziconotide, 1 microgram

J2280

Injection, moxifloxacin, 100 mg

J2300

Injection, nalbuphine hydrochloride, per 10 mg

J2310

Injection, naloxone hydrochloride, per 1 mg

J2315

Injection, naltrexone, depot form, 1 mg

J2320

Injection, nandrolone decanoate, up to 50 mg

J2323

Injection, natalizumab, 1 mg

J2325

Injection, nesiritide, 0.1 mg

J2353

Injection, octreotide, depot form for intramuscular injection, 1 mg

J2354

Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg

J2355

Injection, oprelvekin, 5 mg

J2357

Injection, omalizumab, 5 mg

J2358

Injection, olanzapine, long-acting, 1 mg

J2360

Injection, orphenadrine citrate, up to 60 mg

J2370

Injection, phenylephrine hcl, up to 1 ml

J2400

Injection, chloroprocaine hydrochloride, per 30 ml

J2405

Injection, ondansetron hydrochloride, per 1 mg

J2407

Injection, oritavancin, 10 mg

J2410

Injection, oxymorphone hcl, up to 1 mg

J2425

Injection, palifermin, 50 micrograms

J2426

Injection, paliperidone palmitate extended release, 1 mg

J2430

Injection, pamidronate disodium, per 30 mg

J2440

Injection, papaverine hcl, up to 60 mg

J2460

Injection, oxytetracycline hcl, up to 50 mg

J2469

Injection, palonosetron hcl, 25 mcg

J2501

Injection, paricalcitol, 1 mcg

J2502

Injection, pasireotide long acting, 1 mg

J2503

Injection, pegaptanib sodium, 0.3 mg

J2504

Injection, pegademase bovine, 25 iu

J2505

Injection, pegfilgrastim, 6 mg

J2507

Injection, pegloticase, 1 mg

J2510

Injection, penicillin g procaine, aqueous, up to 600,000 units

J2513

Injection, pentastarch, 10% solution, 100 ml

J2515

Injection, pentobarbital sodium, per 50 mg

J2540

Injection, penicillin g potassium, up to 600,000 units

J2543

Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)

J2545

Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg

J2547

Injection, peramivir, 1 mg

J2550

Injection, promethazine hcl, up to 50 mg

J2560

Injection, phenobarbital sodium, up to 120 mg

J2562

Injection, plerixafor, 1 mg

J2590

Injection, oxytocin, up to 10 units

J2597

Injection, desmopressin acetate, per 1 mcg

J2650

Injection, prednisolone acetate, up to 1 ml

J2670

Injection, tolazoline hcl, up to 25 mg

J2675

Injection, progesterone, per 50 mg

J2680

Injection, fluphenazine decanoate, up to 25 mg

J2690

Injection, procainamide hcl, up to 1 gm

J2700

Injection, oxacillin sodium, up to 250 mg

J2704

Injection, propofol, 10 mg

J2710

Injection, neostigmine methylsulfate, up to 0.5 mg

J2720

Injection, protamine sulfate, per 10 mg

J2724

Injection, protein c concentrate, intravenous, human, 10 iu

J2725

Injection, protirelin, per 250 mcg

J2730

Injection, pralidoxime chloride, up to 1 gm

J2760

Injection, phentolamine mesylate, up to 5 mg

J2765

Injection, metoclopramide hcl, up to 10 mg

J2770

Injection, quinupristin/dalfopristin, 500 mg (150/350)

J2778

Injection, ranibizumab, 0.1 mg

J2780

Injection, ranitidine hydrochloride, 25 mg

J2783

Injection, rasburicase, 0.5 mg

J2785

Injection, regadenoson, 0.1 mg

J2786

Injection, reslizumab, 1 mg

J2788

Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)

J2790

Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)

J2791

Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu

J2792

Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu

J2793

Injection, rilonacept, 1 mg

J2794

Injection, risperidone, long acting, 0.5 mg

J2795

Injection, ropivacaine hydrochloride, 1 mg

J2796

Injection, romiplostim, 10 micrograms

J2800

Injection, methocarbamol, up to 10 ml

J2805

Injection, sincalide, 5 micrograms

J2810

Injection, theophylline, per 40 mg

J2820

Injection, sargramostim (gm-csf), 50 mcg

J2840

Injection, sebelipase alfa, 1 mg

J2850

Injection, secretin, synthetic, human, 1 microgram

J2860

Injection, siltuximab, 10 mg

J2910

Injection, aurothioglucose, up to 50 mg

J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

J2920

Injection, methylprednisolone sodium succinate, up to 40 mg

J2930

Injection, methylprednisolone sodium succinate, up to 125 mg

J2940

Injection, somatrem, 1 mg

J2941

Injection, somatropin, 1 mg

J2950

Injection, promazine hcl, up to 25 mg

J2993

Injection, reteplase, 18.1 mg

J2995

Injection, streptokinase, per 250,000 iu

J2997

Injection, alteplase recombinant, 1 mg

J3000

Injection, streptomycin, up to 1 gm

J3010

Injection, fentanyl citrate, 0.1 mg

J3030

Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

J3060

Injection, taliglucerace alfa, 10 units

J3070

Injection, pentazocine, 30 mg

J3090

Injection, tedizolid phosphate, 1 mg

J3095

Injection, telavancin, 10 mg

J3101

Injection, tenecteplase, 1 mg

J3105

Injection, terbutaline sulfate, up to 1 mg

J3110

Injection, teriparatide, 10 mcg

J3120

Injection, testosterone enanthate, up to 100 mg

J3121

Injection, testosterone enanthate, 1 mg

J3130

Injection, testosterone enanthate, up to 200 mg

J3140

Injection, testosterone suspension, up to 50 mg

J3145

Injection, testosterone undecanoate, 1 mg

J3150

Injection, testosterone propionate, up to 100 mg

J3230

Injection, chlorpromazine hcl, up to 50 mg

J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

J3243

Injection, tigecycline, 1 mg

J3246

Injection, tirofiban hcl, 0.25 mg

J3250

Injection, trimethobenzamide hcl, up to 200 mg

J3260

Injection, tobramycin sulfate, up to 80 mg

J3262

Injection, tocilizumab, 1 mg

J3265

Injection, torsemide, 10 mg/ml

J3280

Injection, thiethylperazine maleate, up to 10 mg

J3285

Injection, treprostinil, 1 mg

J3300

Injection, triamcinolone acetonide, preservative free, 1 mg

J3301

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

J3302

Injection, triamcinolone diacetate, per 5 mg

J3303

Injection, triamcinolone hexacetonide, per 5 mg

J3305

Injection, trimetrexate glucuronate, per 25 mg

J3310

Injection, perphenazine, up to 5 mg

J3315

Injection, triptorelin pamoate, 3.75 mg

J3320

Injection, spectinomycin dihydrochloride, up to 2 gm

J3350

Injection, urea, up to 40 gm

J3355

Injection, urofollitropin, 75 iu

J3357

Ustekinumab, for subcutaneous injection, 1 mg

J3360

Injection, diazepam, up to 5 mg

J3364

Injection, urokinase, 5000 iu vial

J3365

Injection, iv, urokinase, 250,000 i.u. vial

J3370

Injection, vancomycin hcl, 500 mg

J3380

Injection, vedolizumab, 1 mg

J3385

Injection, velaglucerase alfa, 100 units

J3396

Injection, verteporfin, 0.1 mg

J3400

Injection, triflupromazine hcl, up to 20 mg

J3410

Injection, hydroxyzine hcl, up to 25 mg

J3411

Injection, thiamine hcl, 100 mg

J3415

Injection, pyridoxine hcl, 100 mg

J3420

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

J3430

Injection, phytonadione (vitamin k), per 1 mg

J3465

Injection, voriconazole, 10 mg

J3470

Injection, hyaluronidase, up to 150 units

J3471

Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units)

J3472

Injection, hyaluronidase, ovine, preservative free, per 1000 usp units

J3473

Injection, hyaluronidase, recombinant, 1 usp unit

J3475

Injection, magnesium sulfate, per 500 mg

J3480

Injection, potassium chloride, per 2 meq

J3485

Injection, zidovudine, 10 mg

J3486

Injection, ziprasidone mesylate, 10 mg

J3487

Injection, zoledronic acid (zometa), 1 mg

J3488

Injection, zoledronic acid (reclast), 1 mg

J3489

Injection, zoledronic acid, 1 mg

J3490

Unclassified drugs

J3520

Edetate disodium, per 150 mg

J3530

Nasal vaccine inhalation

J3535

Drug administered through a metered dose inhaler

J3570

Laetrile, amygdalin, vitamin b17

J3590

Unclassified biologics

J7030

Infusion, normal saline solution , 1000 cc

J7040

Infusion, normal saline solution, sterile (500 ml = 1 unit)

J7042

5% dextrose/normal saline (500 ml = 1 unit)

J7050

Infusion, normal saline solution, 250 cc

J7060

5% dextrose/water (500 ml = 1 unit)

J7070

Infusion, d5w, 1000 cc

J7100

Infusion, dextran 40, 500 ml

J7110

Infusion, dextran 75, 500 ml

J7120

Ringers lactate infusion, up to 1000 cc

J7121

5% dextrose in lactated ringers infusion, up to 1000 cc

J7131

Hypertonic saline solution, 1 ml

J7175

Injection, factor x, (human), 1 i.u.

J7178

Injection, human fibrinogen concentrate, 1 mg

J7179

Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco

J7180

Injection, factor xiii (antihemophilic factor, human), 1 i.u.

J7181

Injection, factor xiii a-subunit, (recombinant), per iu

J7182

Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu

J7183

Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco

J7185

Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.

J7186

Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.

J7187

Injection, von willebrand factor complex (humate-p), per iu vwf:rco

J7188

Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u.

J7189

Factor viia (antihemophilic factor, recombinant), per 1 microgram

J7190

Factor viii (antihemophilic factor, human) per i.u.

J7191

Factor viii (antihemophilic factor (porcine)), per i.u.

J7192

Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified

J7193

Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.

J7194

Factor ix, complex, per i.u.

J7195

Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified

J7196

Injection, antithrombin recombinant, 50 i.u.

J7197

Antithrombin iii (human), per i.u.

J7198

Anti-inhibitor, per i.u.

J7199

Hemophilia clotting factor, not otherwise classified

J7200

Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu

J7201

Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.

J7202

Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.

J7205

Injection, factor viii fc fusion protein (recombinant), per iu

J7207

Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.

J7209

Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u.

J7297

Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg

J7298

Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg

J7300

Intrauterine copper contraceptive

J7301

Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg

J7302

Levonorgestrel-releasing intrauterine contraceptive system, 52 mg

J7303

Contraceptive supply, hormone containing vaginal ring, each

J7304

Contraceptive supply, hormone containing patch, each

J7306

Levonorgestrel (contraceptive) implant system, including implants and supplies

J7307

Etonogestrel (contraceptive) implant system, including implant and supplies

J7308

Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)

J7309

Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram

J7310

Ganciclovir, 4.5 mg, long-acting implant

J7311

Fluocinolone acetonide, intravitreal implant

J7312

Injection, dexamethasone, intravitreal implant, 0.1 mg

J7313

Injection, fluocinolone acetonide, intravitreal implant, 0.01 mg

J7315

Mitomycin, ophthalmic, 0.2 mg

J7316

Injection, ocriplasmin, 0.125 mg

J7320

Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg

J7321

Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose

J7322

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg

J7323

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose

J7324

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose

J7325

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg

J7326

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose

J7327

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose

J7328

Hyaluronan or derivative, gel-syn, for intra-articular injection, 0.1 mg

J7330

Autologous cultured chondrocytes, implant

J7335

Capsaicin 8% patch, per 10 square centimeters

J7336

Capsaicin 8% patch, per square centimeter

J7340

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml

J7342

Installation, ciprofloxacin otic suspension, 6 mg

J7500

Azathioprine, oral, 50 mg

J7501

Azathioprine, parenteral, 100 mg

J7502

Cyclosporine, oral, 100 mg

J7503

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg

J7504

Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg

J7505

Muromonab-cd3, parenteral, 5 mg

J7506

Prednisone, oral, per 5 mg

J7507

Tacrolimus, immediate release, oral, 1 mg

J7508

Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg

J7509

Methylprednisolone oral, per 4 mg

J7510

Prednisolone oral, per 5 mg

J7511

Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg

J7512

Prednisone, immediate release or delayed release, oral, 1 mg

J7513

Daclizumab, parenteral, 25 mg

J7515

Cyclosporine, oral, 25 mg

J7516

Cyclosporin, parenteral, 250 mg

J7517

Mycophenolate mofetil, oral, 250 mg

J7518

Mycophenolic acid, oral, 180 mg

J7520

Sirolimus, oral, 1 mg

J7525

Tacrolimus, parenteral, 5 mg

J7527

Everolimus, oral, 0.25 mg

J7599

Immunosuppressive drug, not otherwise classified

J7604

Acetylcysteine, inhalation solution, compounded product, administered through dme, unit dose form, per gram

J7605

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms

J7606

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms

J7607

Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mg

J7608

Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram

J7609

Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg

J7610

Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg

J7611

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg

J7612

Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg

J7613

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg

J7614

Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg

J7615

Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg

J7620

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme

J7622

Beclomethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

J7624

Betamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

J7626

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg

J7627

Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg

J7628

Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram

J7629

Bitolterol mesylate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

J7631

Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams

J7632

Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams

J7633

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram

J7634

Budesonide, inhalation solution, compounded product, administered through dme, concentrated form, per 0.25 milligram

J7635

Atropine, inhalation solution, compounded product, administered through dme, concentrated form, per milligram

J7636

Atropine, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

J7637

Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram

J7638

Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

J7639

Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram

J7640

Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms

J7641

Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram

J7642

Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram

J7643

Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

J7644

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram

J7645

Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

J7647

Isoetharine hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram

J7648

Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram

J7649

Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram

J7650

Isoetharine hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

J7657

Isoproterenol hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram

J7658

Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram

J7659

Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram

J7660

Isoproterenol hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

J7665

Mannitol, administered through an inhaler, 5 mg

J7667

Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligrams

J7668

Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 10 milligrams

J7669

Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams

J7670

Metaproterenol sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams

J7674

Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg

J7676

Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg

J7680

Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram

J7681

Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

J7682

Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams

J7683

Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram

J7684

Triamcinolone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

J7685

Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams

J7686

Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg

J7699

Noc drugs, inhalation solution administered through dme

J7799

Noc drugs, other than inhalation drugs, administered through dme

J7999

Compounded drug, not otherwise classified

J8498

Antiemetic drug, rectal/suppository, not otherwise specified

J8499

Prescription drug, oral, non chemotherapeutic, nos

J8501

Aprepitant, oral, 5 mg

J8510

Busulfan; oral, 2 mg

J8515

Cabergoline, oral, 0.25 mg

J8520

Capecitabine, oral, 150 mg

J8521

Capecitabine, oral, 500 mg

J8530

Cyclophosphamide; oral, 25 mg

J8540

Dexamethasone, oral, 0.25 mg

J8560

Etoposide; oral, 50 mg

J8562

Fludarabine phosphate, oral, 10 mg

J8565

Gefitinib, oral, 250 mg

J8597

Antiemetic drug, oral, not otherwise specified

J8600

Melphalan; oral, 2 mg

J8610

Methotrexate; oral, 2.5 mg

J8650

Nabilone, oral, 1 mg

J8655

Netupitant 300 mg and palonosetron 0.5 mg

J8670

Rolapitant, oral, 1 mg

J8700

Temozolomide, oral, 5 mg

J8705

Topotecan, oral, 0.25 mg

J8999

Prescription drug, oral, chemotherapeutic, nos

J9000

Injection, doxorubicin hydrochloride, 10 mg

J9002

Injection, doxorubicin hydrochloride, liposomal, doxil, 10 mg

J9010

Injection, alemtuzumab, 10 mg

J9015

Injection, aldesleukin, per single use vial

J9017

Injection, arsenic trioxide, 1 mg

J9019

Injection, asparaginase (erwinaze), 1,000 iu

J9020

Injection, asparaginase, not otherwise specified, 10,000 units

J9025

Injection, azacitidine, 1 mg

J9027

Injection, clofarabine, 1 mg

J9031

Bcg (intravesical) per instillation

J9032

Injection, belinostat, 10 mg

J9033

Injection, bendamustine hcl (treanda), 1 mg

J9034

Injection, bendamustine hcl (bendeka), 1 mg

J9035

Injection, bevacizumab, 10 mg

J9039

Injection, blinatumomab, 1 microgram

J9040

Injection, bleomycin sulfate, 15 units

J9041

Injection, bortezomib, 0.1 mg

J9042

Injection, brentuximab vedotin, 1 mg

J9043

Injection, cabazitaxel, 1 mg

J9045

Injection, carboplatin, 50 mg

J9047

Injection, carfilzomib, 1 mg

J9050

Injection, carmustine, 100 mg

J9055

Injection, cetuximab, 10 mg

J9060

Injection, cisplatin, powder or solution, 10 mg

J9065

Injection, cladribine, per 1 mg

J9070

Cyclophosphamide, 100 mg

J9098

Injection, cytarabine liposome, 10 mg

J9100

Injection, cytarabine, 100 mg

J9120

Injection, dactinomycin, 0.5 mg

J9130

Dacarbazine, 100 mg

J9145

Injection, daratumumab, 10 mg

J9150

Injection, daunorubicin, 10 mg

J9151

Injection, daunorubicin citrate, liposomal formulation, 10 mg

J9155

Injection, degarelix, 1 mg

J9160

Injection, denileukin diftitox, 300 micrograms

J9165

Injection, diethylstilbestrol diphosphate, 250 mg

J9171

Injection, docetaxel, 1 mg

J9175

Injection, elliotts' b solution, 1 ml

J9176

Injection, elotuzumab, 1 mg

J9178

Injection, epirubicin hcl, 2 mg

J9179

Injection, eribulin mesylate, 0.1 mg

J9181

Injection, etoposide, 10 mg

J9185

Injection, fludarabine phosphate, 50 mg

J9190

Injection, fluorouracil, 500 mg

J9200

Injection, floxuridine, 500 mg

J9201

Injection, gemcitabine hydrochloride, 200 mg

J9202

Goserelin acetate implant, per 3.6 mg

J9205

Injection, irinotecan liposome, 1 mg

J9206

Injection, irinotecan, 20 mg

J9207

Injection, ixabepilone, 1 mg

J9208

Injection, ifosfamide, 1 gram

J9209

Injection, mesna, 200 mg

J9211

Injection, idarubicin hydrochloride, 5 mg

J9212

Injection, interferon alfacon-1, recombinant, 1 microgram

J9213

Injection, interferon, alfa-2a, recombinant, 3 million units

J9214

Injection, interferon, alfa-2b, recombinant, 1 million units

J9215

Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu

J9216

Injection, interferon, gamma 1-b, 3 million units

J9217

Leuprolide acetate (for depot suspension), 7.5 mg

J9218

Leuprolide acetate, per 1 mg

J9219

Leuprolide acetate implant, 65 mg

J9225

Histrelin implant (vantas), 50 mg

J9226

Histrelin implant (supprelin la), 50 mg

J9228

Injection, ipilimumab, 1 mg

J9230

Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg

J9245

Injection, melphalan hydrochloride, 50 mg

J9250

Methotrexate sodium, 5 mg

J9260

Methotrexate sodium, 50 mg

J9261

Injection, nelarabine, 50 mg

J9262

Injection, omacetaxine mepesuccinate, 0.01 mg

J9263

Injection, oxaliplatin, 0.5 mg

J9264

Injection, paclitaxel protein-bound particles, 1 mg

J9265

Injection, paclitaxel, 30 mg

J9266

Injection, pegaspargase, per single dose vial

J9267

Injection, paclitaxel, 1 mg

J9268

Injection, pentostatin, 10 mg

J9270

Injection, plicamycin, 2.5 mg

J9271

Injection, pembrolizumab, 1 mg

J9280

Injection, mitomycin, 5 mg

J9293

Injection, mitoxantrone hydrochloride, per 5 mg

J9295

Injection, necitumumab, 1 mg

J9299

Injection, nivolumab, 1 mg

J9300

Injection, gemtuzumab ozogamicin, 5 mg

J9301

Injection, obinutuzumab, 10 mg

J9302

Injection, ofatumumab, 10 mg

J9303

Injection, panitumumab, 10 mg

J9305

Injection, pemetrexed, 10 mg

J9306

Injection, pertuzumab, 1 mg

J9307

Injection, pralatrexate, 1 mg

J9308

Injection, ramucirumab, 5 mg

J9310

Injection, rituximab, 100 mg

J9315

Injection, romidepsin, 1 mg

J9320

Injection, streptozocin, 1 gram

J9325

Injection, talimogene laherparepvec, per 1 million plaque forming units

J9328

Injection, temozolomide, 1 mg

J9330

Injection, temsirolimus, 1 mg

J9340

Injection, thiotepa, 15 mg

J9351

Injection, topotecan, 0.1 mg

J9352

Injection, trabectedin, 0.1 mg

J9354

Injection, ado-trastuzumab emtansine, 1 mg

J9355

Injection, trastuzumab, 10 mg

J9357

Injection, valrubicin, intravesical, 200 mg

J9360

Injection, vinblastine sulfate, 1 mg

J9370

Vincristine sulfate, 1 mg

J9371

Injection, vincristine sulfate liposome, 1 mg

J9390

Injection, vinorelbine tartrate, 10 mg

J9395

Injection, fulvestrant, 25 mg

J9400

Injection, ziv-aflibercept, 1 mg

J9600

Injection, porfimer sodium, 75 mg

J9999

Not otherwise classified, antineoplastic drugs

 

 

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