Medical Billing Code Search
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9172 results found
| G9916 | Funct status past 12 months | Description: Functional status performed once in the last 12 months |
| G9917 | Adv dem crgvr limited | Description: Documentation of advanced stage dementia and caregiver knowledge is limited |
| G9918 | No funct stat perf, rsn nos | Description: Functional status not performed, reason not otherwise specified |
| G9919 | Scrn nd pos nd prov of rec | Description: Screening performed and positive and provision of recommendations |
| G9920 | Scrning perf and negative | Description: Screening performed and negative |
| G9921 | No or part scrn nd rng or os | Description: No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified |
| G9922 | Sfty cncrns scrn nd mit recs | Description: Safety concerns screen provided and if positive then documented mitigation recommendations |
| G9923 | Safty cncrns scrn and neg | Description: Safety concerns screen provided and negative |
| G9924 | Doc med rsn no scrn or recs | Description: Documentation of medical reason(s) for not providing safety concerns screen or for not providing recommendations, orders or referrals for positive screen (e.g., patient in palliative care, other medical reason) |
| G9925 | No scrn prov rsn nos | Description: Safety concerns screening not provided, reason not otherwise specified |
| G9926 | Sfty cncrns scrn but no recs | Description: Safety concerns screening positive screen is without provision of mitigation recommendations, including but not limited to referral to other resources |
| G9927 | Doc no warf /fda pt trial | Description: Documentation of system reason(s) for not prescribing an fda-approved anticoagulation due to patient being currently enrolled in a clinical trial related to af/atrial flutter treatment |
| G9928 | No warf or fda drug presc | Description: Fda-approved anticoagulant not prescribed, reason not given |
| G9929 | Trs/rev af | Description: Patient with transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery) |
| G9930 | Com care | Description: Patients who are receiving comfort care only |
| G9931 | No chad or chad scr 0 or 1 | Description: Documentation of cha2ds2-vasc risk score of 0 or 1 for men; or 0, 1, or 2 for women |
| G9932 | Doc pt rsn no tb scrn recrds | Description: Documentation of patient reason(s) for not having records of negative or managed positive tb screen (e.g., patient does not return for mantoux (ppd) skin test evaluation) |
| G9933 | Canc detectd during col scrn | Description: Adenoma(s) or colorectal cancer detected during screening colonoscopy |
| G9934 | Doc rsn not detecting cancer | Description: Documentation that neoplasm detected is only diagnosed as traditional serrated adenoma, sessile serrated polyp, or sessile serrated adenoma |
| G9935 | Canc not detectd during srcn | Description: Adenoma(s) or colorectal cancer not detected during screening colonoscopy |
| G9936 | Pmh plyp/neo co/rect/jun/ans | Description: Surveillance colonoscopy - personal history of colonic polyps, colon cancer, or other malignant neoplasm of rectum, rectosigmoid junction, and anus |
| G9937 | Dig or surv colsco | Description: Diagnostic colonoscopy |
| G9938 | Pt 66+ snp or ltc pos > 90d | Description: Patients aged 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the six months prior to the measurement period through december 31 of the measurement period |
| G9939 | Same path/derm perf biopsy | Description: Pathologists/dermatopathologists is the same clinician who performed the biopsy |
| G9940 | Doc reas no statin therapy | Description: Documentation of medical reason(s) for not on a statin (e.g., pregnancy, in vitro fertilization, clomiphene rx, esrd, cirrhosis, muscular pain and disease during the measurement period or prior year) |
| G9941 | Pre and post vas wthn 3 mos | Description: Back pain was measured by the visual analog scale (vas) within three months preoperatively and at three months (6 - 20 weeks) postoperatively |
| G9942 | Adtl spine proc on same date | Description: Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminectomy |
| G9943 | Bk pn nt msr vas scl pre/pst | Description: Back pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively |
| G9944 | Vas 3 mon pre and 1 yr post | Description: Back pain was measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperatively |
| G9945 | Pt w/cancer scoliosis | Description: Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis |
| G9946 | Bk pain no vas | Description: Back pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively |
| G9947 | Pre and post vas wthn 3 mos | Description: Leg pain was measured by the visual analog scale (vas) within three months preoperatively and at three months (6 to 20 weeks) postoperatively |
| G9948 | Adtl spine proc on same date | Description: Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminectomy |
| G9949 | Leg pain no vas | Description: Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively |
| G9954 | Pt >2 rsk fac post-op vomit | Description: Patient exhibits 2 or more risk factors for post-operative vomiting |
| G9955 | Inhlnt anesth only for induc | Description: Cases in which an inhalational anesthetic is used only for induction |
| G9956 | Combo thrpy of >= 2 prophly | Description: Patient received combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively |
| G9957 | Doc med rsn no combo thrpy | Description: Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g., intolerance or other medical reason) |
| G9958 | No combo prohpyl thrp for pt | Description: Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively |
| G9959 | Systemic antimicro not presc | Description: Systemic antimicrobials not prescribed |
| G9960 | Med rsn sys antimi nt rx | Description: Documentation of medical reason(s) for prescribing systemic antimicrobials |
| G9961 | Systemic antimicro presc | Description: Systemic antimicrobials prescribed |
| G9962 | Embolization doc separatly | Description: Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery anatomy |
| G9963 | Embolization not doc separat | Description: Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy |
| G9964 | Pt recv >=1 well-chld visit | Description: Patient received at least one well-child visit with a pcp during the performance period |
| G9965 | No well-chld vist recv by pt | Description: Patient did not receive at least one well-child visit with a pcp during the performance period |
| G9966 | Scrn, inter, report child | Description: Children who were screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report |
| G9967 | No scrn, inter, reprt child | Description: Children who were not screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report |
| G9968 | Pt refrd 2 pvdr/spclst in pp | Description: Patient was referred to another clinician or specialist during the measurement period |
| G9969 | Pvdr rfrd pt rprt rcvd | Description: Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred |
| G9970 | Pvdr rfrd pt no rprt rcvd | Description: Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred |
| G9974 | Mac exam perf | Description: Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
| G9975 | Doc med rsn no dil mac exam | Description: Documentation of medical reason(s) for not performing a dilated macular examination |
| G9978 | Remote e/m new pt 10mins | Description: Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
| G9979 | Remote e/m new pt 20mins | Description: Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
| G9980 | Remote e/m new pt 30 mins | Description: Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate severity. typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
| G9981 | Remote e/m new pt 45mins | Description: Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
| G9982 | Remote e/m new pt 60mins | Description: Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 60 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
| G9983 | Remote e/m est. pt 10mins | Description: Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
| G9984 | Remote e/m est. pt 15mins | Description: Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
| G9985 | Remote e/m est. pt 25mins | Description: Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
| G9986 | Remote e/m est. pt 40mins | Description: Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
| G9987 | Bpci advanced in home visit | Description: Bundled payments for care improvement advanced (bpci advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services; for use only for a bpci advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code |
| G9988 | Pall serv during meas | Description: Palliative care services provided to patient any time during the measurement period |
| G9989 | Med rsn no pneum vax | Description: Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine) |
| G9990 | No pneum vax admin 19+ | Description: Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
| G9991 | Pneum vax admin 19+ | Description: Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
| G9992 | Pall serv during meas | Description: Palliative care services used by patient any time during the measurement period |
| G9993 | Pall serv during meas | Description: Patient was provided palliative care services any time during the measurement period |
| G9994 | Pall serv during meas | Description: Patient is using palliative care services any time during the measurement period |
| G9995 | Pall serv during meas | Description: Patients who use palliative care services any time during the measurement period |
| G9996 | Doc pt pal or hospice | Description: Documentation stating the patient has received or is currently receiving palliative or hospice care |
| G9997 | Doc pt preg dur msrmt pd | Description: Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
| G9998 | Doc med rsn <3 colon | Description: Documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, piecemeal removal of adenomas, or sessile serrated polyps >= 20 mm in size, last colonoscopy found greater than 10 adenomas, lower gastrointestinal bleeding, or patient at high risk for colon cancer due to underlying medical history ([i.e. crohn's disease, ulcerative colitis, personal or family history of colon cancer, hereditary colorectal cancer syndromes]) |
| G9999 | Doc sys rsn <3 colon | Description: Documentation of system reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., unable to locate previous colonoscopy report, patient cannot provide precise date or details from previous colonoscopy, previous colonoscopy report was incomplete) |
| H0001 | Alcohol and/or drug assess | Description: Alcohol and/or drug assessment |
| H0002 | Alcohol and/or drug screenin | Description: Behavioral health screening to determine eligibility for admission to treatment program |
| H0003 | Alcohol and/or drug screenin | Description: Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
| H0004 | Alcohol and/or drug services | Description: Behavioral health counseling and therapy, per 15 minutes |
| H0005 | Alcohol and/or drug services | Description: Alcohol and/or drug services; group counseling by a clinician |
| H0006 | Alcohol and/or drug services | Description: Alcohol and/or drug services; case management |
| H0007 | Alcohol and/or drug services | Description: Alcohol and/or drug services; crisis intervention (outpatient) |
| H0008 | Alcohol and/or drug services | Description: Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) |
| H0009 | Alcohol and/or drug services | Description: Alcohol and/or drug services; acute detoxification (hospital inpatient) |
| H0010 | Alcohol and/or drug services | Description: Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
| H0011 | Alcohol and/or drug services | Description: Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
| H0012 | Alcohol and/or drug services | Description: Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
| H0013 | Alcohol and/or drug services | Description: Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) |
| H0014 | Alcohol and/or drug services | Description: Alcohol and/or drug services; ambulatory detoxification |
| H0015 | Alcohol and/or drug services | Description: Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
| H0016 | Alcohol and/or drug services | Description: Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
| H0017 | Alcohol and/or drug services | Description: Behavioral health; residential (hospital residential treatment program), without room and board, per diem |
| H0018 | Alcohol and/or drug services | Description: Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
| H0019 | Alcohol and/or drug services | Description: Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
| H0020 | Alcohol and/or drug services | Description: Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
| H0021 | Alcohol and/or drug training | Description: Alcohol and/or drug training service (for staff and personnel not employed by providers) |
| H0022 | Alcohol and/or drug interven | Description: Alcohol and/or drug intervention service (planned facilitation) |
| H0023 | Alcohol and/or drug outreach | Description: Behavioral health outreach service (planned approach to reach a targeted population) |
| H0024 | Alcohol and/or drug preventi | Description: Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) |
| H0025 | Alcohol and/or drug preventi | Description: Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
| H0026 | Alcohol and/or drug preventi | Description: Alcohol and/or drug prevention process service, community-based (delivery of services to develop skills of impactors) |
| H0027 | Alcohol and/or drug preventi | Description: Alcohol and/or drug prevention environmental service (broad range of external activities geared toward modifying systems in order to mainstream prevention through policy and law) |
| H0028 | Alcohol and/or drug preventi | Description: Alcohol and/or drug prevention problem identification and referral service (e.g., student assistance and employee assistance programs), does not include assessment |
| H0029 | Alcohol and/or drug preventi | Description: Alcohol and/or drug prevention alternatives service (services for populations that exclude alcohol and other drug use e.g., alcohol free social events) |
| H0030 | Alcohol and/or drug hotline | Description: Behavioral health hotline service |
| H0031 | Mh health assess by non-md | Description: Mental health assessment, by non-physician |
| H0032 | Mh svc plan dev by non-md | Description: Mental health service plan development by non-physician |
| H0033 | Oral med adm direct observe | Description: Oral medication administration, direct observation |
| H0034 | Med trng & support per 15min | Description: Medication training and support, per 15 minutes |
| H0035 | Mh partial hosp tx under 24h | Description: Mental health partial hospitalization, treatment, less than 24 hours |
| H0036 | Comm psy face-face per 15min | Description: Community psychiatric supportive treatment, face-to-face, per 15 minutes |
| H0037 | Comm psy sup tx pgm per diem | Description: Community psychiatric supportive treatment program, per diem |
| H0038 | Self-help/peer svc per 15min | Description: Self-help/peer services, per 15 minutes |
| H0039 | Asser com tx face-face/15min | Description: Assertive community treatment, face-to-face, per 15 minutes |
| H0040 | Assert comm tx pgm per diem | Description: Assertive community treatment program, per diem |
| H0041 | Fos c chld non-ther per diem | Description: Foster care, child, non-therapeutic, per diem |
| H0042 | Fos c chld non-ther per mon | Description: Foster care, child, non-therapeutic, per month |
| H0043 | Supported housing, per diem | Description: Supported housing, per diem |
| H0044 | Supported housing, per month | Description: Supported housing, per month |
| H0045 | Respite not-in-home per diem | Description: Respite care services, not in the home, per diem |
| H0046 | Mental health service, nos | Description: Mental health services, not otherwise specified |
| H0047 | Alcohol/drug abuse svc nos | Description: Alcohol and/or other drug abuse services, not otherwise specified |
| H0048 | Spec coll non-blood:a/d test | Description: Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
| H0049 | Alcohol/drug screening | Description: Alcohol and/or drug screening |
| H0050 | Alcohol/drug service 15 min | Description: Alcohol and/or drug services, brief intervention, per 15 minutes |
| H0051 | Traditional healing service | Description: Traditional healing service |
| H0052 | Mmip mental health and care | Description: Missing and murdered indigenous persons (mmip) mental health and clinical care |
| H0053 | Ht mental health and care | Description: Historical trauma (ht) mental health and clinical care for indigenous persons |
| H1000 | Prenatal care atrisk assessm | Description: Prenatal care, at-risk assessment |
| H1001 | Antepartum management | Description: Prenatal care, at-risk enhanced service; antepartum management |
| H1002 | Carecoordination prenatal | Description: Prenatal care, at risk enhanced service; care coordination |
| H1003 | Prenatal at risk education | Description: Prenatal care, at-risk enhanced service; education |
| H1004 | Follow up home visit/prental | Description: Prenatal care, at-risk enhanced service; follow-up home visit |
| H1005 | Prenatalcare enhanced srv pk | Description: Prenatal care, at-risk enhanced service package (includes h1001-h1004) |
| H1010 | Nonmed family planning ed | Description: Non-medical family planning education, per session |
| H1011 | Family assessment | Description: Family assessment by licensed behavioral health professional for state defined purposes |
| H2000 | Comp multidisipln evaluation | Description: Comprehensive multidisciplinary evaluation |
| H2001 | Rehabilitation program 1/2 d | Description: Rehabilitation program, per 1/2 day |
| H2010 | Comprehensive med svc 15 min | Description: Comprehensive medication services, per 15 minutes |
| H2011 | Crisis interven svc, 15 min | Description: Crisis intervention service, per 15 minutes |
| H2012 | Behav hlth day treat, per hr | Description: Behavioral health day treatment, per hour |
| H2013 | Psych hlth fac svc, per diem | Description: Psychiatric health facility service, per diem |
| H2014 | Skills train and dev, 15 min | Description: Skills training and development, per 15 minutes |
| H2015 | Comp comm supp svc, 15 min | Description: Comprehensive community support services, per 15 minutes |
| H2016 | Comp comm supp svc, per diem | Description: Comprehensive community support services, per diem |
| H2017 | Psysoc rehab svc, per 15 min | Description: Psychosocial rehabilitation services, per 15 minutes |
| H2018 | Psysoc rehab svc, per diem | Description: Psychosocial rehabilitation services, per diem |
| H2019 | Ther behav svc, per 15 min | Description: Therapeutic behavioral services, per 15 minutes |
| H2020 | Ther behav svc, per diem | Description: Therapeutic behavioral services, per diem |
| H2021 | Com wrap-around sv, 15 min | Description: Community-based wrap-around services, per 15 minutes |
| H2022 | Com wrap-around sv, per diem | Description: Community-based wrap-around services, per diem |
| H2023 | Supported employ, per 15 min | Description: Supported employment, per 15 minutes |
| H2024 | Supported employ, per diem | Description: Supported employment, per diem |
| H2025 | Supp maint employ, 15 min | Description: Ongoing support to maintain employment, per 15 minutes |
| H2026 | Supp maint employ, per diem | Description: Ongoing support to maintain employment, per diem |
| H2027 | Psychoed svc, per 15 min | Description: Psychoeducational service, per 15 minutes |
| H2028 | Sex offend tx svc, 15 min | Description: Sexual offender treatment service, per 15 minutes |
| H2029 | Sex offend tx svc, per diem | Description: Sexual offender treatment service, per diem |
| H2030 | Mh clubhouse svc, per 15 min | Description: Mental health clubhouse services, per 15 minutes |
| H2031 | Mh clubhouse svc, per diem | Description: Mental health clubhouse services, per diem |
| H2032 | Activity therapy, per 15 min | Description: Activity therapy, per 15 minutes |
| H2033 | Multisys ther/juvenile 15min | Description: Multisystemic therapy for juveniles, per 15 minutes |
| H2034 | A/d halfway house, per diem | Description: Alcohol and/or drug abuse halfway house services, per diem |
| H2035 | A/d tx program, per hour | Description: Alcohol and/or other drug treatment program, per hour |
| H2036 | A/d tx program, per diem | Description: Alcohol and/or other drug treatment program, per diem |
| H2037 | Dev delay prev dp ch, 15 min | Description: Developmental delay prevention activities, dependent child of client, per 15 minutes |
| H2038 | Skill train and dev/diem | Description: Skills training and development, per diem |
| H2040 | Coord specialty care, month | Description: Coordinated specialty care, team-based, for first episode psychosis, per month |
| H2041 | Coord special care encounter | Description: Coordinated specialty care, team-based, for first episode psychosis, per encounter |
| J0120 | Tetracyclin injection | Description: Injection, tetracycline, up to 250 mg |
| J0121 | Inj., omadacycline, 1 mg | Description: Injection, omadacycline, 1 mg |
| J0122 | Inj., eravacycline, 1 mg | Description: Injection, eravacycline, 1 mg |
| J0129 | Abatacept injection | Description: 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 | Abciximab injection | Description: Injection abciximab, 10 mg |
| J0131 | Inj, acetaminophen (nos) | Description: Injection, acetaminophen, not otherwise specified,10 mg |
| J0132 | Acetylcysteine injection | Description: Injection, acetylcysteine, 100 mg |
| J0133 | Acyclovir injection | Description: Injection, acyclovir, 5 mg |
| J0134 | Inj acetaminophen -fresenius | Description: Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
| J0135 | Adalimumab injection | Description: Injection, adalimumab, 20 mg |
| J0136 | Inj, acetaminophen (b braun) | Description: Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
| J0137 | Inj, acetaminophen (hikma) | Description: Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
| J0138 | Inj acetaminoph 10mg/ibu 3mg | Description: Injection, acetaminophen 10 mg and ibuprofen 3 mg |
| J0139 | Inj, adalimumab, 1 mg | Description: Injection, adalimumab, 1 mg |
| J0150 | Injection adenosine 6 mg | Description: Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270) |
| J0151 | Inj adenosine diag 1mg | Description: Injection, adenosine for diagnostic use, 1 mg (not to be used to report any adenosine phosphate compounds, instead use a9270) |
| J0153 | Adenosine inj 1mg | Description: Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) |
| J0163 | Epinephrine in nacl (endo) | Description: Injection, epinephrine in sodium chloride (endo), 0.1 mg |
| J0164 | Epinephrine in nacl (baxter) | Description: Injection, epinephrine in sodium chloride (baxter), 0.1 mg |
| J0165 | Inj epinephrine nos 0.1 mg | Description: Injection, epinephrine, not otherwise specified, 0.1 mg |
| J0166 | Inj epinephrine (bpi) | Description: Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg |
| J0167 | Inj epinephrine (hospira) | Description: Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg |
| J0168 | Epinephrine (intl med sys) | Description: Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg |
| J0169 | Inj epinephrine (adrenalin) | Description: Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg |
| J0171 | Adrenalin epinephrine inject | Description: Injection, adrenalin, epinephrine, 0.1 mg |
| J0173 | Inj, epinephrine (belcher) | Description: Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg |
| J0174 | Inj, lecanemab-irmb, 1 mg | Description: Injection, lecanemab-irmb, 1 mg |
| J0175 | Inj, donanemab-azbt, 2 mg | Description: Injection, donanemab-azbt, 2 mg |
| J0177 | Inj, aflibercept hd, 1 mg | Description: Injection, aflibercept hd, 1 mg |
| J0178 | Aflibercept injection | Description: Injection, aflibercept, 1 mg |
| J0179 | Inj, brolucizumab-dbll, 1 mg | Description: Injection, brolucizumab-dbll, 1 mg |
| J0180 | Agalsidase beta injection | Description: Injection, agalsidase beta, 1 mg |
| J0184 | Inj, amisulpride, 1 mg | Description: Injection, amisulpride, 1 mg |
| J0185 | Inj., aprepitant, 1 mg | Description: Injection, aprepitant, 1 mg |
| J0202 | Injection, alemtuzumab | Description: Injection, alemtuzumab, 1 mg |
| J0206 | Inj allopurinol sodium 1 mg | Description: Injection, allopurinol sodium, 1 mg |
| J0207 | Amifostine | Description: Injection, amifostine, 500 mg |
| J0208 | Inj, pedmark, 100 mg | Description: Injection, sodium thiosulfate (pedmark), 100 mg |
| J0210 | Methyldopate hcl injection | Description: Injection, methyldopate hcl, up to 250 mg |
| J0211 | Inj, nithiodote, 3mg / 125mg | Description: Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) |
| J0216 | Inj, alfentanil hcl, 500mcg | Description: Injection, alfentanil hydrochloride, 500 micrograms |
| J0217 | Inj velmanase alfa-tycv 1 mg | Description: Injection, velmanase alfa-tycv, 1 mg |
| J0218 | Inj olipudase alfa-rpcp 1mg | Description: Injection, olipudase alfa-rpcp, 1 mg |
| J0219 | Inj aval alfa-nqpt 4mg | Description: Injection, avalglucosidase alfa-ngpt, 4 mg |
| J0220 | Alglucosidase alfa injection | Description: Injection, alglucosidase alfa, 10 mg, not otherwise specified |
| J0221 | Lumizyme injection | Description: Injection, alglucosidase alfa, (lumizyme), 10 mg |
| J0222 | Inj., patisiran, 0.1 mg | Description: Injection, patisiran, 0.1 mg |
| J0223 | Inj givosiran 0.5 mg | Description: Injection, givosiran, 0.5 mg |
| J0224 | Inj. lumasiran, 0.5 mg | Description: Injection, lumasiran, 0.5 mg |
| J0225 | Inj, vutrisiran, 1 mg | Description: Injection, vutrisiran, 1 mg |
| J0256 | Alpha 1 proteinase inhibitor | Description: Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg |
| J0257 | Glassia injection | Description: Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg |
| J0270 | Alprostadil for injection | Description: 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 suppos | Description: 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 | Amikacin sulfate injection | Description: Injection, amikacin sulfate, 100 mg |
| J0280 | Aminophyllin 250 mg inj | Description: Injection, aminophyllin, up to 250 mg |
| J0281 | Inj aminocaproic acid 1 gram | Description: Injection, aminocaproic acid, 1 gram |
| J0282 | Amiodarone hcl | Description: Injection, amiodarone hydrochloride, 30 mg |
| J0283 | Inj, amiodarone (nexterone) | Description: Injection, amiodarone hydrochloride (nexterone), 30 mg |
| J0285 | Amphotericin b | Description: Injection, amphotericin b, 50 mg |
| J0287 | Amphotericin b lipid complex | Description: Injection, amphotericin b lipid complex, 10 mg |
| J0289 | Amphotericin b liposome inj | Description: Injection, amphotericin b liposome, 10 mg |
| J0290 | Ampicillin 500 mg inj | Description: Injection, ampicillin sodium, 500 mg |
| J0291 | Inj., plazomicin, 5 mg | Description: Injection, plazomicin, 5 mg |
| J0295 | Ampicillin sulbactam 1.5 gm | Description: Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
| J0300 | Amobarbital 125 mg inj | Description: Injection, amobarbital, up to 125 mg |
| J0330 | Succinycholine chloride inj | Description: Injection, succinylcholine chloride, up to 20 mg |
| J0348 | Anidulafungin injection | Description: Injection, anidulafungin, 1 mg |
| J0349 | Inj, rezafungin, 1 mg | Description: Injection, rezafungin, 1 mg |
| J0360 | Hydralazine hcl injection | Description: Injection, hydralazine hcl, up to 20 mg |
| J0364 | Apomorphine hydrochloride | Description: Injection, apomorphine hydrochloride, 1 mg |
| J0390 | Chloroquine injection | Description: Injection, chloroquine hydrochloride, up to 250 mg |
| J0391 | Inj, artesunate, 1mg | Description: Injection, artesunate, 1 mg |
| J0400 | Aripiprazole injection | Description: Injection, aripiprazole, intramuscular, 0.25 mg |
| J0401 | Inj, abilify maintena, 1 mg | Description: Injection, aripiprazole (abilify maintena), 1 mg |
| J0402 | Inj, abilify asimtufii, 1 mg | Description: Injection, aripiprazole (abilify asimtufii), 1 mg |
| J0456 | Azithromycin | Description: Injection, azithromycin, 500 mg |
| J0457 | Injection, aztreonam, 100 mg | Description: Injection, aztreonam, 100 mg |
| J0458 | Aztreonam/avibactam 10 mg | Description: Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) |
| J0461 | Atropine sulfate injection | Description: Injection, atropine sulfate, 0.01 mg |
| J0462 | Atropine sulf, nte, 0.01 mg | Description: Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg |
| J0470 | Dimecaprol injection | Description: Injection, dimercaprol, per 100 mg |
| J0475 | Baclofen 10 mg injection | Description: Injection, baclofen, 10 mg |
| J0476 | Baclofen intrathecal trial | Description: Injection, baclofen, 50 mcg for intrathecal trial |
| J0480 | Basiliximab | Description: Injection, basiliximab, 20 mg |
| J0485 | Belatacept injection | Description: Injection, belatacept, 1 mg |
| J0490 | Belimumab injection | Description: Injection, belimumab, 10 mg |
| J0491 | Inj anifrolumab-fnia 1mg | Description: Injection, anifrolumab-fnia, 1 mg |
| J0500 | Dicyclomine injection | Description: Injection, dicyclomine hcl, up to 20 mg |
| J0515 | Inj benztropine mesylate | Description: Injection, benztropine mesylate, per 1 mg |
| J0517 | Inj., benralizumab, 1 mg | Description: Injection, benralizumab, 1 mg |
| J0520 | Bethanechol chloride inject | Description: Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg |
| J0525 | Inj cefotetan disodium 10 mg | Description: Injection, cefotetan disodium, 10 mg |
| J0558 | Peng benzathine/procaine inj | Description: Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
| J0561 | Penicillin g benzathine inj | Description: Injection, penicillin g benzathine, 100,000 units |
| J0565 | Inj, bezlotoxumab, 10 mg | Description: Injection, bezlotoxumab, 10 mg |
| J0567 | Inj., cerliponase alfa 1 mg | Description: Injection, cerliponase alfa, 1 mg |
| J0570 | Buprenorphine implant 74.2mg | Description: Buprenorphine implant, 74.2 mg |
| J0571 | Buprenorphine oral 1mg | Description: Buprenorphine, oral, 1 mg |
| J0572 | Bupren/nal up to 3mg bupreno | Description: Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
| J0573 | Bupren/nal 3.1 to 6mg bupren | Description: Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
| J0574 | Bupren/nal 6.1 to 10mg bupre | Description: Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
| J0575 | Bupren/nal over 10mg bupreno | Description: Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
| J0576 | Inj buprenorph (brixadi) 1mg | Description: Injection, buprenorphine extended-release (brixadi), 1 mg |
| J0577 | Inj, brixadi, 7 days or less | Description: Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy |
| J0578 | Inj brixadi, more than 7 day | Description: Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy |
| J0582 | Bivalirudin (endo) 1 mg | Description: Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg |
| J0583 | Bivalirudin | Description: Injection, bivalirudin, 1 mg |
| J0584 | Injection, burosumab-twza 1m | Description: Injection, burosumab-twza 1 mg |
| J0585 | Injection,onabotulinumtoxina | Description: Injection, onabotulinumtoxina, 1 unit |
| J0586 | Abobotulinumtoxina | Description: Injection, abobotulinumtoxina, 5 units |
| J0587 | Inj, rimabotulinumtoxinb | Description: Injection, rimabotulinumtoxinb, 100 units |
| J0588 | Incobotulinumtoxin a | Description: Injection, incobotulinumtoxin a, 1 unit |
| J0589 | Inj daxibotulinumtoxina-lanm | Description: Injection, daxibotulinumtoxina-lanm, 1 unit |
| J0591 | Inj deoxycholic acid, 1 mg | Description: Injection, deoxycholic acid, 1 mg |
| J0592 | Buprenorphine hydrochloride | Description: Injection, buprenorphine hydrochloride, 0.1 mg |
| J0593 | Inj., lanadelumab-flyo, 1 mg | Description: Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) |
| J0594 | Busulfan injection | Description: injection, busulfan, 1 mg |
| J0595 | Butorphanol tartrate 1 mg | Description: Injection, butorphanol tartrate, 1 mg |
| J0596 | Injection, ruconest | Description: Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units |
| J0597 | C-1 esterase, berinert | Description: Injection, c-1 esterase inhibitor (human), berinert, 10 units |
| J0598 | C-1 esterase, cinryze | Description: Injection, c-1 esterase inhibitor (human), cinryze, 10 units |
| J0599 | Inj., haegarda 10 units | Description: Injection, c-1 esterase inhibitor (human), (haegarda), 10 units |
| J0600 | Edetate calcium disodium inj | Description: Injection, edetate calcium disodium, up to 1000 mg |
| J0601 | Sevelamer carbonate 20 mg | Description: Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) |
| J0602 | Sevelamer carbonate pdr 20mg | Description: Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) |
| J0603 | Sevelamer hydrochloride 20mg | Description: Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) |
| J0604 | Cinacalcet, esrd on dialysis | Description: Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
| J0605 | Sucroferric oxyhydroxide 5mg | Description: Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) |
| J0606 | Inj, etelcalcetide, 0.1 mg | Description: Injection, etelcalcetide, 0.1 mg |
| J0607 | Lanthanum carbonate oral 5mg | Description: Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) |
| J0608 | Lanthanum carbonate pwdr 5mg | Description: Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) |
| J0609 | Ferric citrate orl 3 mg iron | Description: Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) |
| J0610 | Calcium glucon (fresenius) | Description: Injection, calcium gluconate (fresenius kabi), per 10 ml |
| J0611 | Calcium glucon (wg critical) | Description: Injection, calcium gluconate (wg critical care), per 10 ml |
| J0612 | Inj, calcium gluconate, nos | Description: Injection, calcium gluconate, not otherwise specified, 10 mg |
| J0613 | Calcium glucon (wg critical) | Description: Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg |
| J0614 | Inj, treosulfan, 50 mg | Description: Injection, treosulfan, 50 mg |
| J0615 | Calcium acetate, oral, 23 mg | Description: Calcium acetate, oral, 23 mg (for esrd on dialysis) |
| J0616 | Inj metoprolol tartrate 1 mg | Description: Injection, metoprolol tartrate, 1 mg |
| J0618 | Inj, calcium chloride, 2 mg | Description: Injection, calcium chloride, 2 mg |
| J0620 | Calcium glycer & lact/10 ml | Description: Injection, calcium glycerophosphate and calcium lactate, per 10 ml |
| J0630 | Calcitonin salmon injection | Description: Injection, calcitonin salmon, up to 400 units |
| J0636 | Inj calcitriol per 0.1 mcg | Description: Injection, calcitriol, 0.1 mcg |
| J0637 | Caspofungin acetate | Description: Injection, caspofungin acetate, 5 mg |
| J0638 | Canakinumab injection | Description: Injection, canakinumab, 1 mg |
| J0640 | Leucovorin calcium injection | Description: Injection, leucovorin calcium, per 50 mg |
| J0641 | Inj levoleucovorin nos 0.5mg | Description: Injection, levoleucovorin, not otherwise specified, 0.5 mg |
| J0642 | Injection, khapzory, 0.5 mg | Description: Injection, levoleucovorin (khapzory), 0.5 mg |
| J0650 | Inj, levothyroxine nos 10mcg | Description: Injection, levothyroxine sodium, not otherwise specified, 10 mcg |
| J0651 | Inj, levothyroxine, freskabi | Description: Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg |
| J0652 | Inj, levothyroxine, hikma | Description: Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg |
| J0665 | Inj, bupivacaine, nos, 0.5mg | Description: Injection, bupivicaine, not otherwise specified, 0.5 mg |
| J0666 | Inj, bupivacaine liposome | Description: Injection, bupivacaine liposome, 1 mg |
| J0668 | Instill, bupivac and meloxic | Description: Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg |
| J0670 | Inj mepivacaine hcl/10 ml | Description: Injection, mepivacaine hydrochloride, per 10 ml |
| J0675 | Inj, carboprost, 0.1 mg | Description: Injection, carboprost tromethamine, 0.1 mg |
| J0681 | Inj ceftobipole medocarl 3mg | Description: Injection, ceftobiprole medocaril sodium, 3 mg |
| J0687 | Inj cefazolin (wg crit care) | Description: Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg |
| J0688 | Inj cefazolin sodium, hikma | Description: Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
| J0689 | Inj cefazolin sodium, baxter | Description: Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg |
| J0690 | Cefazolin sodium injection | Description: Injection, cefazolin sodium, 500 mg |
| J0691 | Inj lefamulin 1 mg | Description: Injection, lefamulin, 1 mg |
| J0692 | Cefepime hcl for injection | Description: Injection, cefepime hydrochloride, 500 mg |
| J0693 | Inj., cefiderocol, 5 mg | Description: Injection, cefiderocol, 5 mg |
| J0694 | Cefoxitin sodium injection | Description: Injection, cefoxitin sodium, 1 gm |
| J0695 | Inj ceftolozane tazobactam | Description: Injection, ceftolozane 50 mg and tazobactam 25 mg |
| J0696 | Ceftriaxone sodium injection | Description: Injection, ceftriaxone sodium, per 250 mg |
| J0697 | Sterile cefuroxime injection | Description: Injection, sterile cefuroxime sodium, per 750 mg |
| J0698 | Cefotaxime sodium injection | Description: Injection, cefotaxime sodium, per gm |
| J0699 | Inj, cefiderocol, 10 mg | Description: Injection, cefiderocol, 10 mg |
| J0701 | Inj. cefepime hcl (baxter) | Description: Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg |
| J0702 | Betamethasone acet&sod phosp | Description: Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
| J0703 | Inj, cefepime hcl (b braun) | Description: Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg |
| J0706 | Caffeine citrate injection | Description: Injection, caffeine citrate, 5 mg |
| J0712 | Ceftaroline fosamil inj | Description: Injection, ceftaroline fosamil, 10 mg |
| J0713 | Inj ceftazidime per 500 mg | Description: Injection, ceftazidime, per 500 mg |
| J0714 | Ceftazidime and avibactam | Description: Injection, ceftazidime and avibactam, 0.5 g/0.125 g |
| J0716 | Centruroides immune f(ab) | Description: Injection, centruroides immune f(ab)2, up to 120 milligrams |
| J0717 | Certolizumab pegol inj 1mg | Description: 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) |
| J0725 | Chorionic gonadotropin/1000u | Description: Injection, chorionic gonadotropin, per 1,000 usp units |
| J0735 | Clonidine hydrochloride | Description: Injection, clonidine hydrochloride, 1 mg |
| J0736 | Inj, clindamycin phosp 300mg | Description: Injection, clindamycin phosphate, 300 mg |
| J0737 | Inj, clindamycin (baxter) | Description: Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg |
| J0738 | Hiv prep, inj, lenacapavir | Description: Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) |
| J0739 | Hiv prep, inj, cabotegravir | Description: Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) |
| J0740 | Cidofovir injection | Description: Injection, cidofovir, 375 mg |
| J0741 | Inj, cabote rilpivir 2mg 3mg | Description: Injection, cabotegravir and rilpivirine, 2mg/3mg |
| J0742 | Inj imip 4 cilas 4 releb 2mg | Description: Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg |
| J0743 | Cilastatin sodium injection | Description: Injection, cilastatin sodium; imipenem, per 250 mg |
| J0744 | Ciprofloxacin iv | Description: Injection, ciprofloxacin for intravenous infusion, 200 mg |
| J0745 | Inj codeine phosphate /30 mg | Description: Injection, codeine phosphate, per 30 mg |
| J0750 | Hiv prep, ftc/tdf 200/300mg | Description: Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) |
| J0751 | Hiv prep, ftc/taf 200/25mg | Description: Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) |
| J0752 | Hiv prep, oral lenacapavir | Description: Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) |
| J0760 | Colchicine injection | Description: Injection, colchicine, per 1 mg |
| J0770 | Colistimethate sodium inj | Description: Injection, colistimethate sodium, up to 150 mg |
| J0775 | Collagenase, clost hist inj | Description: Injection, collagenase, clostridium histolyticum, 0.01 mg |
| J0780 | Prochlorperazine injection | Description: Injection, prochlorperazine, up to 10 mg |
| J0791 | Inj crizanlizumab-tmca 5mg | Description: Injection, crizanlizumab-tmca, 5 mg |
| J0799 | Hiv prep, fda approved, noc | Description: Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified |
| J0800 | Corticotropin injection | Description: Injection, corticotropin, up to 40 units |
| J0801 | Inj. acthar gel to 40 units | Description: Injection, corticotropin (acthar gel), up to 40 units |
| J0802 | Inj. (ani), up to 40 units | Description: Injection, corticotropin (ani), up to 40 units |
| J0833 | Cosyntropin injection nos | Description: Injection, cosyntropin, not otherwise specified, 0.25 mg |
| J0834 | Inj., cosyntropin, 0.25 mg | Description: Injection, cosyntropin, 0.25 mg |
| J0840 | Crotalidae poly immune fab | Description: Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram |
| J0841 | Inj crotalidae im f(ab')2 eq | Description: Injection, crotalidae immune f(ab')2 (equine), 120 mg |
| J0850 | Cytomegalovirus imm iv /vial | Description: Injection, cytomegalovirus immune globulin intravenous (human), per vial |
| J0870 | Injection, imetelstat, 1 mg | Description: Injection, imetelstat, 1 mg |
| J0872 | Daptomycin (xellia) unrefrig | Description: Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg |
| J0873 | Inj daptomycin (xellia) | Description: Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg |
| J0874 | Inj, daptomycin (baxter) | Description: Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg |
| J0875 | Injection, dalbavancin | Description: Injection, dalbavancin, 5 mg |
| J0877 | Inj, daptomycin (hospira) | Description: Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg |
| J0878 | Daptomycin injection | Description: Injection, daptomycin, 1 mg |
| J0879 | Difelikefalin, esrd on dialy | Description: Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) |
| J0881 | Darbepoetin alfa, non-esrd | Description: Injection, darbepoetin alfa, 1 microgram (non-esrd use) |
| J0882 | Darbepoetin alfa, esrd use | Description: Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
| J0883 | Argatroban nonesrd use 1mg | Description: Injection, argatroban, 1 mg (for non-esrd use) |
| J0884 | Argatroban esrd dialysis 1mg | Description: Injection, argatroban, 1 mg (for esrd on dialysis) |
| J0885 | Epoetin alfa, non-esrd | Description: Injection, epoetin alfa, (for non-esrd use), 1000 units |
| J0886 | Epoetin alfa 1000 units esrd | Description: Injection, epoetin alfa, 1000 units (for esrd on dialysis) |
| J0887 | Epoetin beta esrd use | Description: Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
| J0888 | Epoetin beta non esrd | Description: Injection, epoetin beta, 1 microgram, (for non esrd use) |
| J0890 | Peginesatide injection | Description: Injection, peginesatide, 0.1 mg (for esrd on dialysis) |
| J0891 | Argatroban nonesrd (accord) | Description: Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) |
| J0892 | Argatroban dialysis (accord) | Description: Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) |
| J0893 | Inj, decitabine (sun pharma) | Description: Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg |
| J0894 | Decitabine injection | Description: Injection, decitabine, 1 mg |
| J0895 | Deferoxamine mesylate inj | Description: Injection, deferoxamine mesylate, 500 mg |
| J0896 | Inj luspatercept-aamt 0.25mg | Description: Injection, luspatercept-aamt, 0.25 mg |
| J0897 | Denosumab injection | Description: Injection, denosumab, 1 mg |
| J0898 | Argatroban nonesrd (auromed) | Description: Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) |
| J0899 | Argatroban dialysis, auromed | Description: Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) |
| J0900 | Testosterone enanthate inj | Description: Injection, testosterone enanthate and estradiol valerate, up to 1 cc |
| J0901 | Vadadustat oral 1mg for esrd | Description: Vadadustat, oral, 1 mg (for esrd on dialysis) |
| J0911 | Inst tauro 1.35mg/hep 100u | Description: Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) |
| J0945 | Brompheniramine maleate inj | Description: Injection, brompheniramine maleate, per 10 mg |
| J1000 | Depo-estradiol cypionate inj | Description: Injection, depo-estradiol cypionate, up to 5 mg |
| J1010 | Inj, methylpred acetate 1 mg | Description: Injection, methylprednisolone acetate, 1 mg |
| J1020 | Methylprednisolone 20 mg inj | Description: Injection, methylprednisolone acetate, 20 mg |
| J1030 | Methylprednisolone 40 mg inj | Description: Injection, methylprednisolone acetate, 40 mg |
| J1040 | Methylprednisolone 80 mg inj | Description: Injection, methylprednisolone acetate, 80 mg |
| J1050 | Medroxyprogesterone acetate | Description: Injection, medroxyprogesterone acetate, 1 mg |
| J1060 | Testosterone cypionate 1 ml | Description: Injection, testosterone cypionate and estradiol cypionate, up to 1 ml |
| J1070 | Testosterone cypionat 100 mg | Description: Injection, testosterone cypionate, up to 100 mg |
| J1071 | Inj testosterone cypionate | Description: Injection, testosterone cypionate, 1 mg |
| J1072 | Inj, testosterone, azmiro | Description: Injection, testosterone cypionate (azmiro), 1 mg |
| J1080 | Testosterone cypionat 200 mg | Description: Injection, testosterone cypionate, 1 cc, 200 mg |
| J1094 | Inj dexamethasone acetate | Description: Injection, dexamethasone acetate, 1 mg |
| J1095 | Injection, dexamethasone 9% | Description: Injection, dexamethasone 9 percent, intraocular, 1 microgram |
| J1096 | Dexametha opth insert 0.1 mg | Description: Dexamethasone, lacrimal ophthalmic insert, 0.1 mg |
| J1097 | Phenylep ketorolac opth soln | Description: Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml |
| J1100 | Dexamethasone sodium phos | Description: Injection, dexamethasone sodium phosphate, 1 mg |
| J1105 | Dexmedetomidine film, 1 mcg | Description: Dexmedetomidine, oral, 1 mcg |
| J1110 | Inj dihydroergotamine mesylt | Description: Injection, dihydroergotamine mesylate, per 1 mg |
| J1120 | Acetazolamid sodium injectio | Description: Injection, acetazolamide sodium, up to 500 mg |
| J1130 | Inj diclofenac sodium 0.5mg | Description: Injection, diclofenac sodium, 0.5 mg |
| J1160 | Digoxin injection | Description: Injection, digoxin, up to 0.5 mg |
| J1162 | Digoxin immune fab (ovine) | Description: Injection, digoxin immune fab (ovine), per vial |
| J1163 | Inj, diltiazem hcl, 0.5 mg | Description: Injection, diltiazem hydrochloride, 0.5 mg |
| J1165 | Phenytoin sodium injection | Description: Injection, phenytoin sodium, per 50 mg |
| J1170 | Hydromorphone injection | Description: Injection, hydromorphone, up to 4 mg |
| J1171 | Inj, hydromorphone, 0.1 mg | Description: Injection, hydromorphone, 0.1 mg |
| J1180 | Dyphylline injection | Description: Injection, dyphylline, up to 500 mg |
| J1190 | Dexrazoxane hcl injection | Description: Injection, dexrazoxane hydrochloride, per 250 mg |
| J1200 | Diphenhydramine hcl injectio | Description: Injection, diphenhydramine hcl, up to 50 mg |
| J1201 | Inj. cetirizine hcl 0.5mg | Description: Injection, cetirizine hydrochloride, 0.5 mg |
| J1202 | Miglustat oral 65 mg | Description: Miglustat, oral, 65 mg |
| J1203 | Inj, cipaglucosidase, 5 mg | Description: Injection, cipaglucosidase alfa-atga, 5 mg |
| J1205 | Chlorothiazide sodium inj | Description: Injection, chlorothiazide sodium, per 500 mg |
| J1212 | Dimethyl sulfoxide 50% 50 ml | Description: Injection, dmso, dimethyl sulfoxide, 50%, 50 ml |
| J1230 | Methadone injection | Description: Injection, methadone hcl, up to 10 mg |
| J1240 | Dimenhydrinate injection | Description: Injection, dimenhydrinate, up to 50 mg |
| J1245 | Dipyridamole injection | Description: Injection, dipyridamole, per 10 mg |
| J1250 | Inj dobutamine hcl/250 mg | Description: Injection, dobutamine hydrochloride, per 250 mg |
| J1260 | Dolasetron mesylate | Description: Injection, dolasetron mesylate, 10 mg |
| J1265 | Dopamine injection | Description: Injection, dopamine hcl, 40 mg |
| J1270 | Injection, doxercalciferol | Description: Injection, doxercalciferol, 1 mcg |
| J1271 | Inj doxycycline hyclate 1 mg | Description: Injection, doxycycline hyclate, 1 mg |
| J1290 | Ecallantide injection | Description: Injection, ecallantide, 1 mg |
| J1299 | Inj, eculizumab, 2 mg | Description: Injection, eculizumab, 2 mg |
| J1300 | Eculizumab injection | Description: Injection, eculizumab, 10 mg |
| J1301 | Injection, edaravone, 1 mg | Description: Injection, edaravone, 1 mg |
| J1302 | Inj, sutimlimab-jome, 10 mg | Description: Injection, sutimlimab-jome, 10 mg |
| J1303 | Inj., ravulizumab-cwvz 10 mg | Description: Injection, ravulizumab-cwvz, 10 mg |
| J1304 | Inj tofersen intrathec 1 mg | Description: Injection, tofersen, 1 mg |
| J1305 | Inj, evinacumab-dgnb, 5mg | Description: Injection, evinacumab-dgnb, 5mg |
| J1306 | Injection, inclisiran, 1 mg | Description: Injection, inclisiran, 1 mg |
| J1307 | Inj, crovalimab-akkz, 10 mg | Description: Injection, crovalimab-akkz, 10 mg |
| J1308 | Inj, famotidine, 0.25 mg | Description: Injection, famotidine, 0.25 mg |
| J1320 | Amitriptyline injection | Description: Injection, amitriptyline hcl, up to 20 mg |
| J1322 | Elosulfase alfa, injection | Description: Injection, elosulfase alfa, 1 mg |
| J1323 | Inj, elranatamab-bcmm, 1 mg | Description: Injection, elranatamab-bcmm, 1 mg |
| J1324 | Enfuvirtide injection | Description: Injection, enfuvirtide, 1 mg |
| J1325 | Epoprostenol injection | Description: Injection, epoprostenol, 0.5 mg |
| J1326 | Inj, zolbetuximab-clzb, 2 mg | Description: Injection, zolbetuximab-clzb, 2 mg |
| J1327 | Eptifibatide injection | Description: Injection, eptifibatide, 5 mg |
| J1335 | Ertapenem injection | Description: Injection, ertapenem sodium, 500 mg |
| J1364 | Erythro lactobionate /500 mg | Description: Injection, erythromycin lactobionate, per 500 mg |
| J1370 | Inj, esomeprazole sod, 1 mg | Description: Injection, esomeprazole sodium, 1 mg |
| J1380 | Estradiol valerate 10 mg inj | Description: Injection, estradiol valerate, up to 10 mg |
| J1410 | Inj estrogen conjugate 25 mg | Description: Injection, estrogen conjugated, per 25 mg |
| J1411 | Inj, hemgenix, per tx dose | Description: Injection, etranacogene dezaparvovec-drlb, per therapeutic dose |
| J1412 | Inj roctavian ml 2x10^13vc g | Description: Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes |
| J1413 | Inj delandistrogene mox rokl | Description: Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose |
| J1414 | Inj, beqvez, per tx dose | Description: Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose |
| J1426 | Injection, casimersen, 10 mg | Description: Injection, casimersen, 10 mg |
| J1427 | Inj. viltolarsen | Description: Injection, viltolarsen, 10 mg |
| J1428 | Inj, eteplirsen, 10 mg | Description: Injection, eteplirsen, 10 mg |
| J1429 | Inj golodirsen 10 mg | Description: Injection, golodirsen, 10 mg |
| J1430 | Ethanolamine oleate 100 mg | Description: Injection, ethanolamine oleate, 100 mg |
| J1434 | Inj, focinvez, 1mg | Description: Injection, fosaprepitant (focinvez), 1 mg |
| J1435 | Injection estrone per 1 mg | Description: Injection, estrone, per 1 mg |
| J1436 | Etidronate disodium inj | Description: Injection, etidronate disodium, per 300 mg |
| J1437 | Inj. fe derisomaltose 10 mg | Description: Injection, ferric derisomaltose, 10 mg |
| J1438 | Etanercept injection | Description: 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 | Inj ferric carboxymaltos 1mg | Description: Injection, ferric carboxymaltose, 1 mg |
| J1440 | Fecal microbiota jslm 1 ml | Description: Fecal microbiota, live - jslm, 1 ml |
| J1442 | Inj filgrastim excl biosimil | Description: Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram |
| J1446 | Inj, tbo-filgrastim, 5 mcg | Description: Injection, tbo-filgrastim, 5 micrograms |
| J1447 | Inj tbo filgrastim 1 microg | Description: Injection, tbo-filgrastim, 1 microgram |
| J1448 | Injection, trilaciclib, 1mg | Description: Injection, trilaciclib, 1mg |
| J1449 | Inj eflapegrastim-xnst 0.1mg | Description: Injection, eflapegrastim-xnst, 0.1 mg |
| J1450 | Fluconazole | Description: Injection fluconazole, 200 mg |
| J1451 | Fomepizole, 15 mg | Description: Injection, fomepizole, 15 mg |
| J1453 | Fosaprepitant injection | Description: Injection, fosaprepitant, 1 mg |
| J1454 | Inj fosnetupitant, palonoset | Description: Injection, fosnetupitant 235 mg and palonosetron 0.25 mg |
| J1455 | Foscarnet sodium injection | Description: Injection, foscarnet sodium, per 1000 mg |
| J1456 | Inj, fosaprepitant (teva) | Description: Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg |