Default Fee Schedules Part 4

Default Fee Schedules Part 4

Code Price Type Description
G9659 0 HCPCS / CPT® >85Y NO HX COLO CA/RSN SCOPE
G9660 0 HCPCS / CPT® DOC MED RSN SCOPE PT >85Y
G9661 0 HCPCS / CPT® >85Y SCOPE OTHR RSN
G9662 0 HCPCS / CPT® PRIOR DX/ACTIVE CLIN ASCVD
G9663 0 HCPCS / CPT® FAST/DIR LDL = 190 MG/DL
G9664 0 HCPCS / CPT® TAKING STATIN OR REC’D ORDER
G9665 0 HCPCS / CPT® NO STATIN/NO ORDER STATIN
G9666 0 HCPCS / CPT® FAS/DIR LDL 70-189MG/DL MST
G9674 0 HCPCS / CPT® PT W/CLIN ASCVD DX
G9675 0 HCPCS / CPT® PT W/FAST/DIR LAB LDL-C >190
G9676 0 HCPCS / CPT® 40-75Y W/TYPE 1/2 W/LDL-C RS
G9678 0 HCPCS / CPT® ONCOLOGY CARE MODEL SERVICE
G9679 0 HCPCS / CPT® ACUTE CARE PNEUMONIA
G9680 0 HCPCS / CPT® ACUTE CARE CONGESTIVE HEART
G9681 0 HCPCS / CPT® ACUTE CARE CHRONIC OBSTRUCT
G9682 0 HCPCS / CPT® ACUTE CARE SKIN INFECTION
G9683 0 HCPCS / CPT® ACUTE CARE FLUID OR ELECTROL
G9684 0 HCPCS / CPT® ACUTE CARE URINARY TRACT INF
G9685 0 HCPCS / CPT® ACUTE NURSING FACILITY CARE
G9686 0 HCPCS / CPT® NURSING FACILITY CONFERENCE
G9687 0 HCPCS / CPT® HOSPICE ANYTIME MSMT PER
G9688 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9689 0 HCPCS / CPT® INPT ELECT CAROTID INTERVENT
G9690 0 HCPCS / CPT® PT REC HOSPICE DUR MSMT PER
G9691 0 HCPCS / CPT® PT HOSP DUR MSMT PERIOD
G9692 0 HCPCS / CPT® HOSP RECD BY PT DUR MSMT PER
G9693 0 HCPCS / CPT® PT USE HOSP DURING MSMT PER
G9694 0 HCPCS / CPT® HOSP SRV USED PT IN MSMT PER
G9695 0 HCPCS / CPT® LONG ACT INHAL BRONCHDIL PRE
G9696 0 HCPCS / CPT® MED RSN NO PRESC BRONCHDIL
G9697 0 HCPCS / CPT® PT RSN NO PRESC BRONCHDIL
G9698 0 HCPCS / CPT® SYS RSN NO PRESC BRONCHDIL
G9699 0 HCPCS / CPT® LONG INHAL BRONCHDIL NO PRES
G9700 0 HCPCS / CPT® PT IS W/HOSP DURING MSMT PER
G9701 0 HCPCS / CPT® CHILD ANBX 30 PRIOR DX ESTAB
G9702 0 HCPCS / CPT® PT USE HOSP DURING MSMT PER
G9703 0 HCPCS / CPT® CHILD ANBX 30 PRIOR DX PHARY
G9704 0 HCPCS / CPT® AJCC BR CA STG I: T1 MIC/T1A
G9705 0 HCPCS / CPT® AJCC BR CA STG IB
G9706 0 HCPCS / CPT® LOW RECUR PROST CA
G9707 0 HCPCS / CPT® PT HAD HOSP DUR MSMT PER
G9708 0 HCPCS / CPT® BILAT MAST/HX BI /UNILAT MAS
G9709 0 HCPCS / CPT® HOSP SRV USED PT IN MSMT PER
G9710 0 HCPCS / CPT® PT PROV HOSP SRV MSMT PER
G9711 0 HCPCS / CPT® PT HX TOT COL OR COLON CA
G9712 0 HCPCS / CPT® DOC MED RSN PRESC ANBX
G9713 0 HCPCS / CPT® PT USE HOSP DURING MSMT PER
G9714 0 HCPCS / CPT® PT IS W/HOSP DURING MSMT PER
G9715 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9716 0 HCPCS / CPT® BMI NOT NORM, NO FOLLOW, DOC
G9717 0 HCPCS / CPT® DOC DX DEPR/DX BIPOL, NO SCR
G9718 0 HCPCS / CPT® HOSPICE ANYTIME MSMT PER
G9719 0 HCPCS / CPT® PT NOT AMBUL/IMMOB/WC
G9720 0 HCPCS / CPT® HOSPICE ANYTIME MSMT PER
G9721 0 HCPCS / CPT® PT NOT AMBUL/IMMOB/WC
G9722 0 HCPCS / CPT® DOC HX RENAL FAIL OR CR+ >4
G9723 0 HCPCS / CPT® HOSP RECD BY PT DUR MSMT PER
G9724 0 HCPCS / CPT® PT W/DOC USE ANTICOAG MST YR
G9725 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9726 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9727 0 HCPCS / CPT® NO KNEE INTAKE PROM, NO PROX
G9728 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9729 0 HCPCS / CPT® NO HIP INTAKE PROM, NO PROXY
G9730 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9731 0 HCPCS / CPT® NO FOOT PROM, NO PROXY
G9732 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9733 0 HCPCS / CPT® NO BACK INTAKE PROM, NO PROX
G9734 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9735 0 HCPCS / CPT® PT NO FOTO KNEE AND NO PROXY
G9736 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9737 0 HCPCS / CPT® PT NO FOTO ELBOW, NO PROXY
G9738 0 HCPCS / CPT® REFUSED TO PARTICIPATE
G9739 0 HCPCS / CPT® PT NO FOTO ORTH, NO PROXY
G9740 0 HCPCS / CPT® HOSP SRV TO PT DUR MSMT PER
G9741 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9742 0 HCPCS / CPT® PSYCH SYMPT ASSESSED
G9743 0 HCPCS / CPT® PSYCH SYMP NOT ASSESSED, RNS
G9744 0 HCPCS / CPT® PT NOT ELIG, DX HTN
G9745 0 HCPCS / CPT® DOC RSN NO SCR HIGH BP
G9746 0 HCPCS / CPT® MIT STEN, VALVE OR TRANS AF
G9747 0 HCPCS / CPT® PALL DIALYSIS WITH CATHETER
G9748 0 HCPCS / CPT® APP TRANSPL LVG KIDNEY DONOR
G9749 0 HCPCS / CPT® PALL DIALYSIS WITH CATHETER
G9750 0 HCPCS / CPT® APP TRANSPL LVG KIDNEY DONOR
G9751 0 HCPCS / CPT® PT DIED W/IN 24 MOS RPT TIME
G9752 0 HCPCS / CPT® URGENT SURGERY
G9753 0 HCPCS / CPT® DOC NO DICOM, CT OTHER FAC
G9754 0 HCPCS / CPT® INCID PULM NODULE
G9755 0 HCPCS / CPT® DOC MED RSN FOR IMAGING
G9756 0 HCPCS / CPT® SURG PROC W/SILICONE OIL
G9757 0 HCPCS / CPT® SURG PROC W/SILICONE OIL
G9758 0 HCPCS / CPT® HOSPICE OR TERM PHASE
G9759 0 HCPCS / CPT® HX PREOP POST CAP RUP
G9760 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9761 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9762 0 HCPCS / CPT® PT HAD HPV B/T 9-13 YR
G9763 0 HCPCS / CPT® PT NO HPV B/T 9-13 YR
G9764 0 HCPCS / CPT® PT TX ORAL SYST/BIO MED PSOR
G9765 0 HCPCS / CPT® PT DECL CHAN/CONIND OR <6M
G9766 0 HCPCS / CPT® CVA STROKE DX TX TRANSF FAC
G9767 0 HCPCS / CPT® HOSP NEW DX CVA CONSID EVST
G9768 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9769 0 HCPCS / CPT® BN DEN 2YR/GOT OST MED/THER
G9770 0 HCPCS / CPT® PERIP NERVE BLOCK
G9771 0 HCPCS / CPT® ANES END, 1 TEMP >35.5(95.9)
G9772 0 HCPCS / CPT® DOC TEMP >35.5(95.9), ANEST
G9773 0 HCPCS / CPT® NO TEMP >35.5(95.9), ANES
G9774 0 HCPCS / CPT® PT HAD HYST
G9775 0 HCPCS / CPT® RECD 2 ANTI-EMET PRE/INTRAOP
G9776 0 HCPCS / CPT® DOC MED RSN NO PROPH ANTIEM
G9777 0 HCPCS / CPT® PT NO ANTIEMET PRE/INTRAOP
G9778 0 HCPCS / CPT® PTS DX W/PREGN
G9779 0 HCPCS / CPT® PTS BREASTFEEDING
G9780 0 HCPCS / CPT® PTS DX W/RHABDOMYOLYSIS
G9781 0 HCPCS / CPT® DOC RSN NO STATIN
G9782 0 HCPCS / CPT® HX DX FAM/PURE HYPERCHOLES
G9783 0 HCPCS / CPT® DOC DX DM, FAST <70, NO STAT
G9784 0 HCPCS / CPT® PATH/DERM 2ND OPIN BX
G9785 0 HCPCS / CPT® PATH RPT SNT PATH/DERM IN 7D
G9786 0 HCPCS / CPT® NO PATH RPT SENT IN 7D
G9787 0 HCPCS / CPT® PT ALIVE LST DAY MSMT YR
G9788 0 HCPCS / CPT® MOST RCT BP </= 140/90
G9789 0 HCPCS / CPT® RECORD BP IP, ER, URG/SELF
G9790 0 HCPCS / CPT® MOST RCT BP >/= 140/90
G9791 0 HCPCS / CPT® MOST RCT TOB STAT FREE
G9792 0 HCPCS / CPT® MOST RCT TOB STAT NOT FREE
G9793 0 HCPCS / CPT® PT ON DAILY ASA/ANTIPLAT
G9794 0 HCPCS / CPT® DOC MED RSN NO ASA/ANTIPLAT
G9795 0 HCPCS / CPT® PT NO DAILY ASA/ANTIPLAT
G9796 0 HCPCS / CPT® PT NOT CURRENTLY ON STATIN
G9797 0 HCPCS / CPT® PT CURRENTLY ON STATIN
G9798 0 HCPCS / CPT® D/C AMI BTW 7/1-6/30 MST PER
G9799 0 HCPCS / CPT® MED DISP EVT INDIC HX ASTH
G9800 0 HCPCS / CPT® PT ID INTOL/ALLEG BETA-BLOCK
G9801 0 HCPCS / CPT® NONACUT TRANSF FROM INPT
G9802 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9803 0 HCPCS / CPT® POST D/C 180D TX BETA-BL AMI
G9804 0 HCPCS / CPT® NO POST D/C 180D TX BB AMI
G9805 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9806 0 HCPCS / CPT® PT RECD CERV CYTO/HPV
G9807 0 HCPCS / CPT® PT NO RECD CERV CYTO/HPV
G9808 0 HCPCS / CPT® PT NO ASTHM CONT MED MST PER
G9809 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9810 0 HCPCS / CPT® PDC 75% W/ASTH CONT MED
G9811 0 HCPCS / CPT® NO PDC 75% W/ASTH CONT MED
G9812 0 HCPCS / CPT® PT DIED DURING INPT/30D AFT
G9813 0 HCPCS / CPT® PT NOT DIED W/IN 30D OF PROC
G9814 0 HCPCS / CPT® DEATH OCC DUR HOSPITALIZ
G9815 0 HCPCS / CPT® NO DEATH OCC DUR HOSPITALIZ
G9816 0 HCPCS / CPT® DEATH OCC 30D POST PROC
G9817 0 HCPCS / CPT® NO DEATH OCC 30D POST PROC
G9818 0 HCPCS / CPT® DOC SEX ACTIVITY
G9819 0 HCPCS / CPT® PT W/HOSP ANYTIME MSMT PER
G9820 0 HCPCS / CPT® DOC CHLAM SCR TEST W/FOLLOW
G9821 0 HCPCS / CPT® NO DOC CHLAM SCR TS W/FOLLOW
G9822 0 HCPCS / CPT® ENDO ABL PROC YR PREV IND DT
G9823 0 HCPCS / CPT® ENDO SMPL/HYST BX RES DOC
G9824 0 HCPCS / CPT® ENDO SMPL/HYST BX RES NO DOC
G9825 0 HCPCS / CPT® HER-2 NEG,UNDOC/UNKN
G9826 0 HCPCS / CPT® TRANSF PRACT AFT INIT CHEMO
G9827 0 HCPCS / CPT® HER-2 TARG THER NO INIT TX
G9828 0 HCPCS / CPT® HER-2 TARG THER DUR INIT TX
G9829 0 HCPCS / CPT® BREAST ADJ CHEMO ADMIN
G9830 0 HCPCS / CPT® HER-2 POS
G9831 0 HCPCS / CPT® AJCC STG BRT CA DX II OR III
G9832 0 HCPCS / CPT® BRT CA DX I, NO T1/T1A/T1B
G9833 0 HCPCS / CPT® TRANSF PRACT AFT INIT CHEMO
G9834 0 HCPCS / CPT® PT MET DIS AT DX
G9835 0 HCPCS / CPT® TRASTUZ GIVEN W/IN 12 MOS DX
G9836 0 HCPCS / CPT® RSN NO TRAST GIVEN DOC
G9837 0 HCPCS / CPT® TRASTUZ NOT IN 12 MOS DX
G9838 0 HCPCS / CPT® PT MET DIS AT DX
G9839 0 HCPCS / CPT® ANTI-EGFR MON ANTI THER
G9840 0 HCPCS / CPT® KRAS TST BFR BEG ANTI MOAB
G9841 0 HCPCS / CPT® NO KRAS TST BFR BEG ANT MOAB
G9842 0 HCPCS / CPT® PT MET DIS AT DX
G9843 0 HCPCS / CPT® KRAS GENE MUT
G9844 0 HCPCS / CPT® PT NO RECD ANTI-EGFR THER
G9845 0 HCPCS / CPT® PT RECD ANTI-EGFR THER
G9846 0 HCPCS / CPT® PT DIED FROM CANCER
G9847 0 HCPCS / CPT® PT RECD CHEMO LAST 14D LIFE
G9848 0 HCPCS / CPT® PT NO CHEMO LAST 14D LIFE
G9849 0 HCPCS / CPT® PT DIED FROM CANCER
G9850 0 HCPCS / CPT® 1/MORE ED LAST 30D LIFE
G9851 0 HCPCS / CPT® 1/NO ED VISIT LAST 30D LIFE
G9852 0 HCPCS / CPT® PT DIED FROM CANCER
G9853 0 HCPCS / CPT® ICU STAY LAST 30D LIFE
G9854 0 HCPCS / CPT® NO ICU STAY LAST 30D LIFE
G9855 0 HCPCS / CPT® PT DIED FROM CANCER
G9856 0 HCPCS / CPT® PT NO HOSPICE
G9857 0 HCPCS / CPT® PT ADMIT HOSPICE
G9858 0 HCPCS / CPT® PT ENROLL HOSPICE
G9859 0 HCPCS / CPT® PT DIED FROM CANCER
G9860 0 HCPCS / CPT® PT LESS 3D HOSPICE
G9861 0 HCPCS / CPT® PT MORE THAN 3D HOSPICE
G9862 0 HCPCS / CPT® DOC RSN NO 10 YR FOLLOW
H0001 0 HCPCS / CPT® ALCOHOL AND/OR DRUG ASSESS
H0002 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SCREENIN
H0003 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SCREENIN
H0004 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0005 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0006 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0007 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0008 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0009 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0010 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0011 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0012 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0013 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0014 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0015 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0016 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0017 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0018 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0019 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0020 0 HCPCS / CPT® ALCOHOL AND/OR DRUG SERVICES
H0021 0 HCPCS / CPT® ALCOHOL AND/OR DRUG TRAINING
H0022 0 HCPCS / CPT® ALCOHOL AND/OR DRUG INTERVEN
H0023 0 HCPCS / CPT® ALCOHOL AND/OR DRUG OUTREACH
H0024 0 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0025 0 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0026 0 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0027 0 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0028 0 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0029 0 HCPCS / CPT® ALCOHOL AND/OR DRUG PREVENTI
H0030 0 HCPCS / CPT® ALCOHOL AND/OR DRUG HOTLINE
H0031 0 HCPCS / CPT® MH HEALTH ASSESS BY NON-MD
H0032 0 HCPCS / CPT® MH SVC PLAN DEV BY NON-MD
H0033 0 HCPCS / CPT® ORAL MED ADM DIRECT OBSERVE
H0034 0 HCPCS / CPT® MED TRNG & SUPPORT PER 15MIN
H0035 0 HCPCS / CPT® MH PARTIAL HOSP TX UNDER 24H
H0036 0 HCPCS / CPT® COMM PSY FACE-FACE PER 15MIN
H0037 0 HCPCS / CPT® COMM PSY SUP TX PGM PER DIEM
H0038 0 HCPCS / CPT® SELF-HELP/PEER SVC PER 15MIN
H0039 0 HCPCS / CPT® ASSER COM TX FACE-FACE/15MIN
H0040 0 HCPCS / CPT® ASSERT COMM TX PGM PER DIEM
H0041 0 HCPCS / CPT® FOS C CHLD NON-THER PER DIEM
H0042 0 HCPCS / CPT® FOS C CHLD NON-THER PER MON
H0043 0 HCPCS / CPT® SUPPORTED HOUSING, PER DIEM
H0044 0 HCPCS / CPT® SUPPORTED HOUSING, PER MONTH
H0045 0 HCPCS / CPT® RESPITE NOT-IN-HOME PER DIEM
H0046 0 HCPCS / CPT® MENTAL HEALTH SERVICE, NOS
H0047 0 HCPCS / CPT® ALCOHOL/DRUG ABUSE SVC NOS
H0048 0 HCPCS / CPT® SPEC COLL NON-BLOOD:A/D TEST
H0049 0 HCPCS / CPT® ALCOHOL/DRUG SCREENING
H0050 0 HCPCS / CPT® ALCOHOL/DRUG SERVICE 15 MIN
H1000 0 HCPCS / CPT® PRENATAL CARE ATRISK ASSESSM
H1001 0 HCPCS / CPT® ANTEPARTUM MANAGEMENT
H1002 0 HCPCS / CPT® CARECOORDINATION PRENATAL
H1003 0 HCPCS / CPT® PRENATAL AT RISK EDUCATION
H1004 0 HCPCS / CPT® FOLLOW UP HOME VISIT/PRENTAL
H1005 0 HCPCS / CPT® PRENATALCARE ENHANCED SRV PK
H1010 0 HCPCS / CPT® NONMED FAMILY PLANNING ED
H1011 0 HCPCS / CPT® FAMILY ASSESSMENT
H2000 0 HCPCS / CPT® COMP MULTIDISIPLN EVALUATION
H2001 0 HCPCS / CPT® REHABILITATION PROGRAM 1/2 D
H2010 0 HCPCS / CPT® COMPREHENSIVE MED SVC 15 MIN
H2011 0 HCPCS / CPT® CRISIS INTERVEN SVC, 15 MIN
H2012 0 HCPCS / CPT® BEHAV HLTH DAY TREAT, PER HR
H2013 0 HCPCS / CPT® PSYCH HLTH FAC SVC, PER DIEM
H2014 0 HCPCS / CPT® SKILLS TRAIN AND DEV, 15 MIN
H2015 0 HCPCS / CPT® COMP COMM SUPP SVC, 15 MIN
H2016 0 HCPCS / CPT® COMP COMM SUPP SVC, PER DIEM
H2017 0 HCPCS / CPT® PSYSOC REHAB SVC, PER 15 MIN
H2018 0 HCPCS / CPT® PSYSOC REHAB SVC, PER DIEM
H2019 0 HCPCS / CPT® THER BEHAV SVC, PER 15 MIN
H2020 0 HCPCS / CPT® THER BEHAV SVC, PER DIEM
H2021 0 HCPCS / CPT® COM WRAP-AROUND SV, 15 MIN
H2022 0 HCPCS / CPT® COM WRAP-AROUND SV, PER DIEM
H2023 0 HCPCS / CPT® SUPPORTED EMPLOY, PER 15 MIN
H2024 0 HCPCS / CPT® SUPPORTED EMPLOY, PER DIEM
H2025 0 HCPCS / CPT® SUPP MAINT EMPLOY, 15 MIN
H2026 0 HCPCS / CPT® SUPP MAINT EMPLOY, PER DIEM
H2027 0 HCPCS / CPT® PSYCHOED SVC, PER 15 MIN
H2028 0 HCPCS / CPT® SEX OFFEND TX SVC, 15 MIN
H2029 0 HCPCS / CPT® SEX OFFEND TX SVC, PER DIEM
H2030 0 HCPCS / CPT® MH CLUBHOUSE SVC, PER 15 MIN
H2031 0 HCPCS / CPT® MH CLUBHOUSE SVC, PER DIEM
H2032 0 HCPCS / CPT® ACTIVITY THERAPY, PER 15 MIN
H2033 0 HCPCS / CPT® MULTISYS THER/JUVENILE 15MIN
H2034 0 HCPCS / CPT® A/D HALFWAY HOUSE, PER DIEM
H2035 0 HCPCS / CPT® A/D TX PROGRAM, PER HOUR
H2036 0 HCPCS / CPT® A/D TX PROGRAM, PER DIEM
H2037 0 HCPCS / CPT® DEV DELAY PREV DP CH, 15 MIN
J0120 65 HCPCS / CPT® TETRACYCLIN INJECTION
J0129 65 HCPCS / CPT® ABATACEPT INJECTION
J0130 65 HCPCS / CPT® ABCIXIMAB INJECTION
J0131 65 HCPCS / CPT® ACETAMINOPHEN INJECTION
J0132 65 HCPCS / CPT® ACETYLCYSTEINE INJECTION
J0133 65 HCPCS / CPT® ACYCLOVIR INJECTION
J0135 65 HCPCS / CPT® ADALIMUMAB INJECTION
J0153 10 HCPCS / CPT® ADENOSINE INJ 1MG
J0171 10 HCPCS / CPT® ADRENALIN EPINEPHRINE INJECT
J0178 65 HCPCS / CPT® AFLIBERCEPT INJECTION
J0180 65 HCPCS / CPT® AGALSIDASE BETA INJECTION
J0190 65 HCPCS / CPT® INJ BIPERIDEN LACTATE/5 MG
J0200 65 HCPCS / CPT® ALATROFLOXACIN MESYLATE
J0202 65 HCPCS / CPT® INJECTION, ALEMTUZUMAB
J0205 65 HCPCS / CPT® ALGLUCERASE INJECTION
J0207 65 HCPCS / CPT® AMIFOSTINE
J0210 65 HCPCS / CPT® METHYLDOPATE HCL INJECTION
J0215 65 HCPCS / CPT® ALEFACEPT
J0220 65 HCPCS / CPT® ALGLUCOSIDASE ALFA INJECTION
J0221 65 HCPCS / CPT® LUMIZYME INJECTION
J0256 65 HCPCS / CPT® ALPHA 1 PROTEINASE INHIBITOR
J0257 65 HCPCS / CPT® GLASSIA INJECTION
J0270 65 HCPCS / CPT® ALPROSTADIL FOR INJECTION
J0275 65 HCPCS / CPT® ALPROSTADIL URETHRAL SUPPOS
J0278 65 HCPCS / CPT® AMIKACIN SULFATE INJECTION
J0280 65 HCPCS / CPT® AMINOPHYLLIN 250 MG INJ
J0282 12 HCPCS / CPT® AMIODARONE HCL
J0285 65 HCPCS / CPT® AMPHOTERICIN B
J0287 65 HCPCS / CPT® AMPHOTERICIN B LIPID COMPLEX
J0288 65 HCPCS / CPT® AMPHO B CHOLESTERYL SULFATE
J0289 65 HCPCS / CPT® AMPHOTERICIN B LIPOSOME INJ
J0290 22 HCPCS / CPT® AMPICILLIN 500 MG INJ
J0295 49 HCPCS / CPT® AMPICILLIN SODIUM PER 1.5 GM
J0300 65 HCPCS / CPT® AMOBARBITAL 125 MG INJ
J0330 157 HCPCS / CPT® SUCCINYCHOLINE CHLORIDE INJ
J0348 65 HCPCS / CPT® ANIDULAFUNGIN INJECTION
J0350 65 HCPCS / CPT® INJECTION ANISTREPLASE 30 U
J0360 65 HCPCS / CPT® HYDRALAZINE HCL INJECTION
J0364 65 HCPCS / CPT® APOMORPHINE HYDROCHLORIDE
J0365 65 HCPCS / CPT® APROTONIN, 10,000 KIU
J0380 65 HCPCS / CPT® INJ METARAMINOL BITARTRATE
J0390 65 HCPCS / CPT® CHLOROQUINE INJECTION
J0395 65 HCPCS / CPT® ARBUTAMINE HCL INJECTION
J0400 65 HCPCS / CPT® ARIPIPRAZOLE INJECTION
J0401 65 HCPCS / CPT® INJ ARIPIPRAZOLE EXT REL 1MG
J0456 74 HCPCS / CPT® AZITHROMYCIN
J0461 65 HCPCS / CPT® ATROPINE SULFATE INJECTION
J0470 65 HCPCS / CPT® DIMECAPROL INJECTION
J0475 65 HCPCS / CPT® BACLOFEN 10 MG INJECTION
J0476 65 HCPCS / CPT® BACLOFEN INTRATHECAL TRIAL
J0480 65 HCPCS / CPT® BASILIXIMAB
J0485 65 HCPCS / CPT® BELATACEPT INJECTION
J0490 65 HCPCS / CPT® BELIMUMAB INJECTION
J0500 22 HCPCS / CPT® DICYCLOMINE INJECTION
J0515 65 HCPCS / CPT® INJ BENZTROPINE MESYLATE
J0520 65 HCPCS / CPT® BETHANECHOL CHLORIDE INJECT
J0558 68 HCPCS / CPT® PENG BENZATHINE/PROCAINE INJ
J0561 56 HCPCS / CPT® PENICILLIN G BENZATHINE INJ
J0570 65 HCPCS / CPT® BUPRENORPHINE IMPLANT 74.2MG
J0571 65 HCPCS / CPT® BUPRENORPHINE ORAL 1MG
J0572 65 HCPCS / CPT® BUPREN/NAL UP TO 3MG BUPRENO
J0573 65 HCPCS / CPT® BUPREN/NAL 3.1 TO 6MG BUPREN
J0574 65 HCPCS / CPT® BUPREN/NAL 6.1 TO 10MG BUPRE
J0575 65 HCPCS / CPT® BUPREN/NAL OVER 10MG BUPRENO
J0583 65 HCPCS / CPT® BIVALIRUDIN
J0585 65 HCPCS / CPT® INJECTION,ONABOTULINUMTOXINA
J0586 65 HCPCS / CPT® ABOBOTULINUMTOXINA
J0587 65 HCPCS / CPT® INJ, RIMABOTULINUMTOXINB
J0588 65 HCPCS / CPT® INCOBOTULINUMTOXIN A
J0592 65 HCPCS / CPT® BUPRENORPHINE HYDROCHLORIDE
J0594 65 HCPCS / CPT® BUSULFAN INJECTION
J0595 65 HCPCS / CPT® BUTORPHANOL TARTRATE 1 MG
J0596 65 HCPCS / CPT® INJECTION, RUCONEST
J0597 65 HCPCS / CPT® C-1 ESTERASE, BERINERT
J0598 65 HCPCS / CPT® C-1 ESTERASE, CINRYZE
J0600 65 HCPCS / CPT® EDETATE CALCIUM DISODIUM INJ
J0610 65 HCPCS / CPT® CALCIUM GLUCONATE INJECTION
J0620 65 HCPCS / CPT® CALCIUM GLYCER & LACT/10 ML
J0630 65 HCPCS / CPT® CALCITONIN SALMON INJECTION
J0636 65 HCPCS / CPT® INJ CALCITRIOL PER 0.1 MCG
J0637 65 HCPCS / CPT® CASPOFUNGIN ACETATE
J0638 65 HCPCS / CPT® CANAKINUMAB INJECTION
J0640 65 HCPCS / CPT® LEUCOVORIN CALCIUM INJECTION
J0641 6 HCPCS / CPT® LEVOLEUCOVORIN INJECTION
J0670 65 HCPCS / CPT® INJ MEPIVACAINE HCL/10 ML
J0690 22 HCPCS / CPT® CEFAZOLIN SODIUM INJECTION
J0692 42 HCPCS / CPT® CEFEPIME HCL FOR INJECTION
J0694 65 HCPCS / CPT® CEFOXITIN SODIUM INJECTION
J0695 65 HCPCS / CPT® INJ CEFTOLOZANE TAZOBACTAM
J0696 63 HCPCS / CPT® Rocephin/Ceftriaxone Sodium 250 mg
J0697 65 HCPCS / CPT® STERILE CEFUROXIME INJECTION
J0698 65 HCPCS / CPT® CEFOTAXIME SODIUM INJECTION
J0702 65 HCPCS / CPT® BETAMETHASONE ACET&SOD PHOSP
J0706 65 HCPCS / CPT® CAFFEINE CITRATE INJECTION
J0710 65 HCPCS / CPT® CEPHAPIRIN SODIUM INJECTION
J0712 65 HCPCS / CPT® CEFTAROLINE FOSAMIL INJ
J0713 65 HCPCS / CPT® INJ CEFTAZIDIME PER 500 MG
J0714 65 HCPCS / CPT® CEFTAZIDIME AND AVIBACTAM
J0715 65 HCPCS / CPT® CEFTIZOXIME SODIUM / 500 MG
J0716 65 HCPCS / CPT® CENTRUROIDES IMMUNE F(AB)
J0717 65 HCPCS / CPT® CERTOLIZUMAB PEGOL INJ 1MG
J0720 65 HCPCS / CPT® CHLORAMPHENICOL SODIUM INJEC
J0725 65 HCPCS / CPT® CHORIONIC GONADOTROPIN/1000U
J0735 17 HCPCS / CPT® CLONIDINE HYDROCHLORIDE
J0740 65 HCPCS / CPT® CIDOFOVIR INJECTION
J0743 65 HCPCS / CPT® CILASTATIN SODIUM INJECTION
J0744 66 HCPCS / CPT® CIPROFLOXACIN IV
J0745 65 HCPCS / CPT® INJ CODEINE PHOSPHATE /30 MG
J0770 65 HCPCS / CPT® COLISTIMETHATE SODIUM INJ
J0775 65 HCPCS / CPT® COLLAGENASE, CLOST HIST INJ
J0780 11 HCPCS / CPT® PROCHLORPERAZINE INJECTION
J0795 65 HCPCS / CPT® CORTICORELIN OVINE TRIFLUTAL
J0800 65 HCPCS / CPT® CORTICOTROPIN INJECTION
J0833 65 HCPCS / CPT® COSYNTROPIN INJECTION NOS
J0834 65 HCPCS / CPT® COSYNTROPIN CORTROSYN INJ
J0840 65 HCPCS / CPT® CROTALIDAE POLY IMMUNE FAB
J0850 65 HCPCS / CPT® CYTOMEGALOVIRUS IMM IV /VIAL
J0875 65 HCPCS / CPT® INJECTION, DALBAVANCIN
J0878 65 HCPCS / CPT® DAPTOMYCIN INJECTION
J0881 65 HCPCS / CPT® DARBEPOETIN ALFA, NON-ESRD
J0882 65 HCPCS / CPT® DARBEPOETIN ALFA, ESRD USE
J0883 0 HCPCS / CPT® ARGATROBAN NONESRD USE 1MG
J0884 65 HCPCS / CPT® ARGATROBAN ESRD DIALYSIS 1MG
J0885 65 HCPCS / CPT® EPOETIN ALFA, NON-ESRD
J0887 65 HCPCS / CPT® EPOETIN BETA ESRD USE
J0888 65 HCPCS / CPT® EPOETIN BETA NON ESRD
J0890 65 HCPCS / CPT® PEGINESATIDE INJECTION
J0894 65 HCPCS / CPT® DECITABINE INJECTION
J0895 65 HCPCS / CPT® DEFEROXAMINE MESYLATE INJ
J0897 65 HCPCS / CPT® DENOSUMAB INJECTION
J0945 65 HCPCS / CPT® BROMPHENIRAMINE MALEATE INJ
J1000 65 HCPCS / CPT® DEPO-ESTRADIOL CYPIONATE INJ
J1020 6 HCPCS / CPT® METHYLPREDNISOLONE 20 MG INJ
J1030 15 HCPCS / CPT® METHYLPREDNISOLONE 40 MG INJ
J1040 9 HCPCS / CPT® METHYLPREDNISOLONE 80 MG INJ
J1050 65 HCPCS / CPT® MEDROXYPROGESTERONE ACETATE
J1071 65 HCPCS / CPT® INJ TESTOSTERONE CYPIONATE
J1094 22 HCPCS / CPT® INJ DEXAMETHASONE ACETATE
J1100 34 HCPCS / CPT® DECADRON 1MG
J1110 65 HCPCS / CPT® INJ DIHYDROERGOTAMINE MESYLT
J1120 65 HCPCS / CPT® ACETAZOLAMID SODIUM INJECTIO
J1130 65 HCPCS / CPT® INJ DICLOFENAC SODIUM 0.5MG
J1160 65 HCPCS / CPT® DIGOXIN INJECTION
J1162 65 HCPCS / CPT® DIGOXIN IMMUNE FAB (OVINE)
J1165 37 HCPCS / CPT® PHENYTOIN SODIUM INJECTION
J1170 31 HCPCS / CPT® HYDROMORPHONE INJECTION
J1180 65 HCPCS / CPT® DYPHYLLINE INJECTION
J1190 65 HCPCS / CPT® DEXRAZOXANE HCL INJECTION
J1200 22 HCPCS / CPT® BENADRYL-DIPHENHYDRAMINE HCL INJECTIO
J1205 65 HCPCS / CPT® CHLOROTHIAZIDE SODIUM INJ
J1212 65 HCPCS / CPT® DIMETHYL SULFOXIDE 50% 50 ML
J1230 65 HCPCS / CPT® METHADONE INJECTION
J1240 30 HCPCS / CPT® DIMENHYDRINATE INJECTION
J1245 65 HCPCS / CPT® DIPYRIDAMOLE INJECTION
J1250 0 HCPCS / CPT® INJ DOBUTAMINE HCL/250 MG
J1260 65 HCPCS / CPT® DOLASETRON MESYLATE
J1265 65 HCPCS / CPT® DOPAMINE INJECTION
J1267 65 HCPCS / CPT® DORIPENEM INJECTION
J1270 65 HCPCS / CPT® INJECTION, DOXERCALCIFEROL
J1290 65 HCPCS / CPT® ECALLANTIDE INJECTION
J1300 65 HCPCS / CPT® ECULIZUMAB INJECTION
J1320 65 HCPCS / CPT® AMITRIPTYLINE INJECTION
J1322 65 HCPCS / CPT® ELOSULFASE ALFA, INJECTION
J1324 65 HCPCS / CPT® ENFUVIRTIDE INJECTION
J1325 65 HCPCS / CPT® EPOPROSTENOL INJECTION
J1327 65 HCPCS / CPT® EPTIFIBATIDE INJECTION
J1330 65 HCPCS / CPT® ERGONOVINE MALEATE INJECTION
J1335 65 HCPCS / CPT® ERTAPENEM INJECTION
J1364 65 HCPCS / CPT® ERYTHRO LACTOBIONATE /500 MG
J1380 65 HCPCS / CPT® ESTRADIOL VALERATE 10 MG INJ
J1410 65 HCPCS / CPT® INJ ESTROGEN CONJUGATE 25 MG
J1430 65 HCPCS / CPT® ETHANOLAMINE OLEATE 100 MG
J1435 65 HCPCS / CPT® INJECTION ESTRONE PER 1 MG
J1436 65 HCPCS / CPT® ETIDRONATE DISODIUM INJ
J1438 65 HCPCS / CPT® ETANERCEPT INJECTION
J1439 65 HCPCS / CPT® INJ FERRIC CARBOXYMALTOS 1MG
J1442 65 HCPCS / CPT® INJ FILGRASTIM EXCL BIOSIMIL
J1443 65 HCPCS / CPT® INJ FERRIC PYROPHOSPHATE CIT
J1447 65 HCPCS / CPT® INJ TBO FILGRASTIM 1 MICROG
J1450 65 HCPCS / CPT® FLUCONAZOLE
J1451 65 HCPCS / CPT® FOMEPIZOLE, 15 MG
J1452 65 HCPCS / CPT® INTRAOCULAR FOMIVIRSEN NA
J1453 65 HCPCS / CPT® FOSAPREPITANT INJECTION
J1455 65 HCPCS / CPT® FOSCARNET SODIUM INJECTION
J1457 65 HCPCS / CPT® GALLIUM NITRATE INJECTION
J1458 0 HCPCS / CPT® GALSULFASE INJECTION
J1459 65 HCPCS / CPT® INJ IVIG PRIVIGEN 500 MG
J1460 65 HCPCS / CPT® GAMMA GLOBULIN 1 CC INJ
J1556 65 HCPCS / CPT® INJ, IMM GLOB BIVIGAM, 500MG
J1557 65 HCPCS / CPT® GAMMAPLEX INJECTION
J1559 65 HCPCS / CPT® HIZENTRA INJECTION
J1560 65 HCPCS / CPT® GAMMA GLOBULIN > 10 CC INJ
J1561 65 HCPCS / CPT® GAMUNEX-C/GAMMAKED
J1562 65 HCPCS / CPT® VIVAGLOBIN, INJ
J1566 65 HCPCS / CPT® IMMUNE GLOBULIN, POWDER
J1568 65 HCPCS / CPT® OCTAGAM INJECTION
J1569 65 HCPCS / CPT® GAMMAGARD LIQUID INJECTION
J1570 65 HCPCS / CPT® GANCICLOVIR SODIUM INJECTION
J1571 65 HCPCS / CPT® HEPAGAM B IM INJECTION
J1572 65 HCPCS / CPT® FLEBOGAMMA INJECTION
J1573 65 HCPCS / CPT® HEPAGAM B INTRAVENOUS, INJ
J1575 65 HCPCS / CPT® HYQVIA 100MG IMMUNEGLOBULIN
J1580 65 HCPCS / CPT® GARAMYCIN GENTAMICIN INJ
J1595 65 HCPCS / CPT® INJECTION GLATIRAMER ACETATE
J1599 65 HCPCS / CPT® IVIG NON-LYOPHILIZED, NOS
J1600 65 HCPCS / CPT® GOLD SODIUM THIOMALEATE INJ
J1602 65 HCPCS / CPT® GOLIMUMAB FOR IV USE 1MG
J1610 16 HCPCS / CPT® GLUCAGON HYDROCHLORIDE/1 MG
J1620 65 HCPCS / CPT® GONADORELIN HYDROCH/ 100 MCG
J1626 65 HCPCS / CPT® GRANISETRON HCL INJECTION
J1630 65 HCPCS / CPT® HALOPERIDOL INJECTION
J1631 65 HCPCS / CPT® HALOPERIDOL DECANOATE INJ
J1640 65 HCPCS / CPT® HEMIN, 1 MG
J1642 12 HCPCS / CPT® INJ HEPARIN SODIUM PER 10 U
J1644 79 HCPCS / CPT® INJ HEPARIN SODIUM PER 1000U
J1645 65 HCPCS / CPT® DALTEPARIN SODIUM
J1650 65 HCPCS / CPT® INJ ENOXAPARIN SODIUM
J1652 65 HCPCS / CPT® FONDAPARINUX SODIUM
J1655 65 HCPCS / CPT® TINZAPARIN SODIUM INJECTION
J1670 65 HCPCS / CPT® TETANUS IMMUNE GLOBULIN INJ
J1675 65 HCPCS / CPT® HISTRELIN ACETATE
J1700 65 HCPCS / CPT® HYDROCORTISONE ACETATE INJ
J1710 65 HCPCS / CPT® HYDROCORTISONE SODIUM PH INJ
J1720 0 HCPCS / CPT® HYDROCORTISONE SODIUM SUCC I
J1725 0 HCPCS / CPT® HYDROXYPROGESTERONE CAPROATE
J1730 0 HCPCS / CPT® DIAZOXIDE INJECTION
J1740 0 HCPCS / CPT® IBANDRONATE SODIUM INJECTION
J1741 0 HCPCS / CPT® IBUPROFEN INJECTION
J1742 0 HCPCS / CPT® IBUTILIDE FUMARATE INJECTION
J1743 0 HCPCS / CPT® IDURSULFASE INJECTION
J1744 0 HCPCS / CPT® ICATIBANT INJECTION
J1745 0 HCPCS / CPT® INFLIXIMAB NOT BIOSIMIL 10MG
J1750 0 HCPCS / CPT® INJ IRON DEXTRAN
J1756 0 HCPCS / CPT® IRON SUCROSE INJECTION
J1786 0 HCPCS / CPT® IMUGLUCERASE INJECTION
J1790 0 HCPCS / CPT® DROPERIDOL INJECTION
J1800 0 HCPCS / CPT® PROPRANOLOL INJECTION
J1810 7 HCPCS / CPT® DROPERIDOL/FENTANYL INJ
J1815 32 HCPCS / CPT® INSULIN INJECTION
J1817 0 HCPCS / CPT® INSULIN FOR INSULIN PUMP USE
J1826 0 HCPCS / CPT® INTERFERON BETA-1A INJ
J1830 0 HCPCS / CPT® INTERFERON BETA-1B / .25 MG
J1833 0 HCPCS / CPT® INJECTION, ISAVUCONAZONIUM
J1835 0 HCPCS / CPT® ITRACONAZOLE INJECTION
J1840 0 HCPCS / CPT® KANAMYCIN SULFATE 500 MG INJ
J1850 0 HCPCS / CPT® KANAMYCIN SULFATE 75 MG INJ
J1885 22 HCPCS / CPT® KETOROLAC TROMETHAMINE INJ
J1890 0 HCPCS / CPT® CEPHALOTHIN SODIUM INJECTION
J1930 0 HCPCS / CPT® LANREOTIDE INJECTION
J1931 0 HCPCS / CPT® LARONIDASE INJECTION
J1940 2000 HCPCS / CPT® FUROSEMIDE INJECTION
J1942 0 HCPCS / CPT® ARIPIPRAZOLE LAUROXIL 1MG
J1945 0 HCPCS / CPT® LEPIRUDIN
J1950 0 HCPCS / CPT® LEUPROLIDE ACETATE /3.75 MG
J1953 0 HCPCS / CPT® LEVETIRACETAM INJECTION
J1955 0 HCPCS / CPT® INJ LEVOCARNITINE PER 1 GM
J1956 86 HCPCS / CPT® LEVOFLOXACIN INJECTION
J1960 0 HCPCS / CPT® LEVORPHANOL TARTRATE INJ
J1980 0 HCPCS / CPT® HYOSCYAMINE SULFATE INJ
J1990 0 HCPCS / CPT® CHLORDIAZEPOXIDE INJECTION
J2001 32 HCPCS / CPT® LIDOCAINE INJECTION
J2010 0 HCPCS / CPT® LINCOMYCIN INJECTION
J2020 0 HCPCS / CPT® LINEZOLID INJECTION
J2060 54 HCPCS / CPT® LORAZEPAM INJECTION
J2150 0 HCPCS / CPT® MANNITOL INJECTION
J2170 0 HCPCS / CPT® MECASERMIN INJECTION
J2175 27 HCPCS / CPT® DEMOROL/ MEPERIDINE HYDROCHL /100 MG
J2180 0 HCPCS / CPT® MEPERIDINE/PROMETHAZINE INJ
J2182 0 HCPCS / CPT® INJECTION, MEPOLIZUMAB, 1MG
J2185 0 HCPCS / CPT® MEROPENEM
J2210 0 HCPCS / CPT® METHYLERGONOVIN MALEATE INJ
J2212 0 HCPCS / CPT® METHYLNALTREXONE INJECTION
J2248 0 HCPCS / CPT® MICAFUNGIN SODIUM INJECTION
J2250 12 HCPCS / CPT® INJ MIDAZOLAM HYDROCHLORIDE
J2260 0 HCPCS / CPT® INJ MILRINONE LACTATE / 5 MG
J2265 0 HCPCS / CPT® MINOCYCLINE HYDROCHLORIDE
J2270 15.1 HCPCS / CPT® INJECTION, MORPHINE SULFATE, UP TO 10 MG
J2274 65 HCPCS / CPT® IN MORPHINE PRESERVATIV FREE
J2278 65 HCPCS / CPT® ZICONOTIDE INJECTION
J2280 0 HCPCS / CPT® INJ, MOXIFLOXACIN 100 MG
J2300 0 HCPCS / CPT® INJ NALBUPHINE HYDROCHLORIDE
J2310 0 HCPCS / CPT® INJ NALOXONE HYDROCHLORIDE
J2315 0 HCPCS / CPT® NALTREXONE, DEPOT FORM
J2320 0 HCPCS / CPT® NANDROLONE DECANOATE 50 MG
J2323 0 HCPCS / CPT® NATALIZUMAB INJECTION
J2325 0 HCPCS / CPT® NESIRITIDE INJECTION
J2353 0 HCPCS / CPT® OCTREOTIDE INJECTION, DEPOT
J2354 0 HCPCS / CPT® OCTREOTIDE INJ, NON-DEPOT
J2355 0 HCPCS / CPT® OPRELVEKIN INJECTION
J2357 0 HCPCS / CPT® OMALIZUMAB INJECTION
J2358 0 HCPCS / CPT® OLANZAPINE LONG-ACTING INJ
J2360 0 HCPCS / CPT® ORPHENADRINE INJECTION
J2370 0 HCPCS / CPT® PHENYLEPHRINE HCL INJECTION
J2400 0 HCPCS / CPT® CHLOROPROCAINE HCL INJECTION
J2405 20 HCPCS / CPT® ONDANSETRON HCL INJECTION
J2407 0 HCPCS / CPT® INJECTION, ORITAVANCIN
J2410 0 HCPCS / CPT® OXYMORPHONE HCL INJECTION
J2425 0 HCPCS / CPT® PALIFERMIN INJECTION
J2426 0 HCPCS / CPT® PALIPERIDONE PALMITATE INJ
J2430 0 HCPCS / CPT® PAMIDRONATE DISODIUM /30 MG
J2440 0 HCPCS / CPT® PAPAVERIN HCL INJECTION
J2460 0 HCPCS / CPT® OXYTETRACYCLINE INJECTION
J2469 0 HCPCS / CPT® PALONOSETRON HCL
J2501 0 HCPCS / CPT® PARICALCITOL
J2502 0 HCPCS / CPT® INJ, PASIREOTIDE LONG ACTING
J2503 0 HCPCS / CPT® PEGAPTANIB SODIUM INJECTION
J2504 0 HCPCS / CPT® PEGADEMASE BOVINE, 25 IU
J2505 0 HCPCS / CPT® INJECTION, PEGFILGRASTIM 6MG
J2507 0 HCPCS / CPT® PEGLOTICASE INJECTION
J2510 0 HCPCS / CPT® PENICILLIN G PROCAINE INJ
J2513 0 HCPCS / CPT® PENTASTARCH 10% SOLUTION
J2515 0 HCPCS / CPT® PENTOBARBITAL SODIUM INJ
J2540 0 HCPCS / CPT® PENICILLIN G POTASSIUM INJ
J2543 0 HCPCS / CPT® PIPERACILLIN/TAZOBACTAM
J2545 0 HCPCS / CPT® PENTAMIDINE NON-COMP UNIT
J2547 0 HCPCS / CPT® INJECTION, PERAMIVIR
J2550 20.8 HCPCS / CPT® INJECTION, PROMETHAZINE HCL, UP TO 50 MG
J2560 0 HCPCS / CPT® PHENOBARBITAL SODIUM INJ
J2562 0 HCPCS / CPT® PLERIXAFOR INJECTION
J2590 0 HCPCS / CPT® OXYTOCIN INJECTION
J2597 0 HCPCS / CPT® INJ DESMOPRESSIN ACETATE
J2650 0 HCPCS / CPT® PREDNISOLONE ACETATE INJ
J2670 0 HCPCS / CPT® TOTAZOLINE HCL INJECTION
J2675 0 HCPCS / CPT® INJ PROGESTERONE PER 50 MG
J2680 0 HCPCS / CPT® FLUPHENAZINE DECANOATE 25 MG
J2690 0 HCPCS / CPT® PROCAINAMIDE HCL INJECTION
J2700 0 HCPCS / CPT® OXACILLIN SODIUM INJECITON
J2704 65 HCPCS / CPT® INJ, PROPOFOL, 10 MG
J2710 65 HCPCS / CPT® NEOSTIGMINE METHYLSLFTE INJ
J2720 0 HCPCS / CPT® INJ PROTAMINE SULFATE/10 MG
J2724 0 HCPCS / CPT® PROTEIN C CONCENTRATE
J2725 0 HCPCS / CPT® INJ PROTIRELIN PER 250 MCG
J2730 0 HCPCS / CPT® PRALIDOXIME CHLORIDE INJ
J2760 0 HCPCS / CPT® PHENTOLAINE MESYLATE INJ
J2765 65 HCPCS / CPT® METOCLOPRAMIDE HCL INJECTION
J2770 0 HCPCS / CPT® QUINUPRISTIN/DALFOPRISTIN
J2778 0 HCPCS / CPT® RANIBIZUMAB INJECTION
J2780 65 HCPCS / CPT® RANITIDINE HYDROCHLORIDE INJ
J2783 0 HCPCS / CPT® RASBURICASE
J2785 0 HCPCS / CPT® REGADENOSON INJECTION
J2786 0 HCPCS / CPT® INJECTION, RESLIZUMAB, 1MG
J2788 0 HCPCS / CPT® RHO D IMMUNE GLOBULIN 50 MCG
J2790 65 HCPCS / CPT® RHO D IMMUNE GLOBULIN INJ
J2791 0 HCPCS / CPT® RHOPHYLAC INJECTION
J2792 0 HCPCS / CPT® RHO(D) IMMUNE GLOBULIN H, SD
J2793 0 HCPCS / CPT® RILONACEPT INJECTION
J2794 0 HCPCS / CPT® RISPERIDONE, LONG ACTING
J2795 0 HCPCS / CPT® ROPIVACAINE HCL INJECTION
J2796 0 HCPCS / CPT® ROMIPLOSTIM INJECTION
J2800 0 HCPCS / CPT® METHOCARBAMOL INJECTION
J2805 0 HCPCS / CPT® SINCALIDE INJECTION
J2810 0 HCPCS / CPT® INJ THEOPHYLLINE PER 40 MG
J2820 0 HCPCS / CPT® SARGRAMOSTIM INJECTION
J2840 0 HCPCS / CPT® INJ SEBELIPASE ALFA 1 MG
J2850 0 HCPCS / CPT® INJ SECRETIN SYNTHETIC HUMAN
J2860 0 HCPCS / CPT® INJECTION, SILTUXIMAB
J2910 0 HCPCS / CPT® AUROTHIOGLUCOSE INJECITON
J2916 0 HCPCS / CPT® NA FERRIC GLUCONATE COMPLEX
J2920 19 HCPCS / CPT® METHYLPREDNISOLONE INJECTION
J2930 17 HCPCS / CPT® METHYLPREDNISOLONE INJECTION
J2940 0 HCPCS / CPT® SOMATREM INJECTION
J2941 0 HCPCS / CPT® SOMATROPIN INJECTION
J2950 0 HCPCS / CPT® PROMAZINE HCL INJECTION
J2993 0 HCPCS / CPT® RETEPLASE INJECTION
J2995 0 HCPCS / CPT® INJ STREPTOKINASE /250000 IU
J2997 0 HCPCS / CPT® ALTEPLASE RECOMBINANT
J3000 0 HCPCS / CPT® STREPTOMYCIN INJECTION
J3010 6 HCPCS / CPT® FENTANYL CITRATE INJECITON
J3030 11 HCPCS / CPT® SUMATRIPTAN SUCCINATE / 6 MG
J3060 0 HCPCS / CPT® INJ, TALIGLUCERACE ALFA 10 U
J3070 0 HCPCS / CPT® PENTAZOCINE INJECTION
J3090 0 HCPCS / CPT® INJ TEDIZOLID PHOSPHATE
J3095 0 HCPCS / CPT® TELAVANCIN INJECTION
J3101 0 HCPCS / CPT® TENECTEPLASE INJECTION
J3105 0 HCPCS / CPT® TERBUTALINE SULFATE INJ
J3110 0 HCPCS / CPT® TERIPARATIDE INJECTION
J3121 0 HCPCS / CPT® INJ TESTOSTERO ENANTHATE 1MG
J3145 0 HCPCS / CPT® TESTOSTERONE UNDECANOATE 1MG
J3230 0 HCPCS / CPT® CHLORPROMAZINE HCL INJECTION
J3240 0 HCPCS / CPT® THYROTROPIN INJECTION
J3243 0 HCPCS / CPT® TIGECYCLINE INJECTION
J3246 0 HCPCS / CPT® TIROFIBAN HCL
J3250 0 HCPCS / CPT® TRIMETHOBENZAMIDE HCL INJ
J3260 0 HCPCS / CPT® TOBRAMYCIN SULFATE INJECTION
J3262 0 HCPCS / CPT® TOCILIZUMAB INJECTION
J3265 0 HCPCS / CPT® INJECTION TORSEMIDE 10 MG/ML
J3280 0 HCPCS / CPT® THIETHYLPERAZINE MALEATE INJ
J3285 0 HCPCS / CPT® TREPROSTINIL INJECTION
J3300 0 HCPCS / CPT® TRIAMCINOLONE A INJ PRS-FREE
J3301 0 HCPCS / CPT® TRIAMCINOLONE ACET INJ NOS
J3302 0 HCPCS / CPT® TRIAMCINOLONE DIACETATE INJ
J3303 0 HCPCS / CPT® TRIAMCINOLONE HEXACETONL INJ
J3305 0 HCPCS / CPT® INJ TRIMETREXATE GLUCORONATE
J3310 0 HCPCS / CPT® PERPHENAZINE INJECITON
J3315 0 HCPCS / CPT® TRIPTORELIN PAMOATE
J3320 0 HCPCS / CPT® SPECTINOMYCN DI-HCL INJ
J3350 0 HCPCS / CPT® UREA INJECTION
J3355 0 HCPCS / CPT® UROFOLLITROPIN, 75 IU
J3357 0 HCPCS / CPT® USTEKINUMAB SUB CU INJ, 1 MG
J3360 11 HCPCS / CPT® DIAZEPAM INJECTION
J3364 0 HCPCS / CPT® UROKINASE 5000 IU INJECTION
J3365 0 HCPCS / CPT® UROKINASE 250,000 IU INJ
J3370 118 HCPCS / CPT® VANCOMYCIN HCL INJECTION
J3380 0 HCPCS / CPT® INJECTION, VEDOLIZUMAB
J3385 0 HCPCS / CPT® VELAGLUCERASE ALFA
J3396 0 HCPCS / CPT® VERTEPORFIN INJECTION
J3400 0 HCPCS / CPT® TRIFLUPROMAZINE HCL INJ
J3410 0 HCPCS / CPT® HYDROXYZINE HCL INJECTION
J3411 0 HCPCS / CPT® THIAMINE HCL 100 MG
J3415 0 HCPCS / CPT® PYRIDOXINE HCL 100 MG
J3420 0 HCPCS / CPT® VITAMIN B12 INJECTION
J3430 17 HCPCS / CPT® VITAMIN K PHYTONADIONE INJ
J3465 0 HCPCS / CPT® INJECTION, VORICONAZOLE
J3470 0 HCPCS / CPT® HYALURONIDASE INJECTION
J3471 0 HCPCS / CPT® OVINE, UP TO 999 USP UNITS
J3472 0 HCPCS / CPT® OVINE, 1000 USP UNITS
J3473 0 HCPCS / CPT® HYALURONIDASE RECOMBINANT
J3475 27 HCPCS / CPT® INJ MAGNESIUM SULFATE
J3480 7 HCPCS / CPT® INJ POTASSIUM CHLORIDE
J3485 0 HCPCS / CPT® ZIDOVUDINE
J3486 0 HCPCS / CPT® ZIPRASIDONE MESYLATE
J3489 0 HCPCS / CPT® ZOLEDRONIC ACID 1MG
J3490 65 HCPCS / CPT® DRUGS UNCLASSIFIED INJECTION
J3499 65 HCPCS / CPT® Unclassified Drugs
J3520 0 HCPCS / CPT® EDETATE DISODIUM PER 150 MG
J3530 0 HCPCS / CPT® NASAL VACCINE INHALATION
J3535 0 HCPCS / CPT® METERED DOSE INHALER DRUG
J3570 0 HCPCS / CPT® LAETRILE AMYGDALIN VIT B17
J3590 0 HCPCS / CPT® UNCLASSIFIED BIOLOGICS
J7030 68 HCPCS / CPT® NORMAL SALINE SOLUTION INFUS
J7040 36 HCPCS / CPT® NORMAL SALINE SOLUTION INFUS
J7042 32 HCPCS / CPT® 5% DEXTROSE/NORMAL SALINE
J7050 28 HCPCS / CPT® NORMAL SALINE SOLUTION INFUS
J7060 38 HCPCS / CPT® 5% DEXTROSE/WATER
J7070 87 HCPCS / CPT® D5W INFUSION
J7100 0 HCPCS / CPT® DEXTRAN 40 INFUSION
J7110 0 HCPCS / CPT® DEXTRAN 75 INFUSION
J7120 96 HCPCS / CPT® RINGERS LACTATE INFUSION
J7121 98 HCPCS / CPT® 5% DEXTROSE IN LAC RINGERS
J7131 77 HCPCS / CPT® HYPERTONIC SALINE SOL
J7175 0 HCPCS / CPT® INJ, FACTOR X, (HUMAN), 1IU
J7178 0 HCPCS / CPT® HUMAN FIBRINOGEN CONC INJ
J7179 0 HCPCS / CPT® VONVENDI INJ 1 IU VWF:RCO
J7180 0 HCPCS / CPT® FACTOR XIII ANTI-HEM FACTOR
J7181 0 HCPCS / CPT® FACTOR XIII RECOMB A-SUBUNIT
J7182 0 HCPCS / CPT® FACTOR VIII RECOMB NOVOEIGHT
J7183 0 HCPCS / CPT® WILATE INJECTION
J7185 0 HCPCS / CPT® XYNTHA INJ
J7186 0 HCPCS / CPT® ANTIHEMOPHILIC VIII/VWF COMP
J7187 0 HCPCS / CPT® HUMATE-P, INJ
J7188 0 HCPCS / CPT® FACTOR VIII RECOMB OBIZUR
J7189 0 HCPCS / CPT® FACTOR VIIA
J7190 0 HCPCS / CPT® FACTOR VIII
J7191 0 HCPCS / CPT® FACTOR VIII (PORCINE)
J7192 0 HCPCS / CPT® FACTOR VIII RECOMBINANT NOS
J7193 0 HCPCS / CPT® FACTOR IX NON-RECOMBINANT
J7194 0 HCPCS / CPT® FACTOR IX COMPLEX
J7195 0 HCPCS / CPT® FACTOR IX RECOMBINANT NOS
J7196 0 HCPCS / CPT® ANTITHROMBIN RECOMBINANT
J7197 0 HCPCS / CPT® ANTITHROMBIN III INJECTION
J7198 0 HCPCS / CPT® ANTI-INHIBITOR
J7199 0 HCPCS / CPT® HEMOPHILIA CLOT FACTOR NOC
J7200 0 HCPCS / CPT® FACTOR IX RECOMBINAN RIXUBIS
J7201 0 HCPCS / CPT® FACTOR IX ALPROLIX RECOMB
J7202 0 HCPCS / CPT® FACTOR IX IDELVION INJ
J7205 0 HCPCS / CPT® FACTOR VIII FC FUSION RECOMB
J7207 0 HCPCS / CPT® FACTOR VIII PEGYLATED RECOMB
J7209 0 HCPCS / CPT® FACTOR VIII NUWIQ RECOMB 1IU
J7297 0 HCPCS / CPT® LILETTA, 52 MG
J7298 0 HCPCS / CPT® MIRENA, 52 MG
J7300 0 HCPCS / CPT® INTRAUT COPPER CONTRACEPTIVE
J7301 0 HCPCS / CPT® SKYLA, 13.5 MG
J7303 0 HCPCS / CPT® CONTRACEPTIVE VAGINAL RING
J7304 0 HCPCS / CPT® CONTRACEPTIVE HORMONE PATCH
J7306 0 HCPCS / CPT® LEVONORGESTREL IMPLANT SYS
J7307 0 HCPCS / CPT® ETONOGESTREL IMPLANT SYSTEM
J7308 0 HCPCS / CPT® AMINOLEVULINIC ACID HCL TOP
J7309 0 HCPCS / CPT® METHYL AMINOLEVULINATE, TOP
J7310 0 HCPCS / CPT® GANCICLOVIR LONG ACT IMPLANT
J7311 0 HCPCS / CPT® FLUOCINOLONE ACETONIDE IMPLT
J7312 65 HCPCS / CPT® DEXAMETHASONE INTRA IMPLANT
J7313 0 HCPCS / CPT® FLUOCINOL ACET INTRAVIT IMP
J7315 0 HCPCS / CPT® OPHTHALMIC MITOMYCIN
J7316 0 HCPCS / CPT® INJ, OCRIPLASMIN, 0.125 MG
J7320 0 HCPCS / CPT® GENVISC 850, INJ, 1MG
J7321 0 HCPCS / CPT® HYALGAN/SUPARTZ INJ PER DOSE
J7322 0 HCPCS / CPT® HYMOVIS INJECTION 1 MG
J7323 0 HCPCS / CPT® EUFLEXXA INJ PER DOSE
J7324 0 HCPCS / CPT® ORTHOVISC INJ PER DOSE
J7325 0 HCPCS / CPT® SYNVISC OR SYNVISC-ONE
J7326 0 HCPCS / CPT® GEL-ONE
J7327 0 HCPCS / CPT® MONOVISC INJ PER DOSE
J7328 0 HCPCS / CPT® GEL-SYN INJECTION 0.1 MG
J7330 0 HCPCS / CPT® CULTURED CHONDROCYTES IMPLNT
J7336 0 HCPCS / CPT® CAPSAICIN 8% PATCH
J7340 0 HCPCS / CPT® CARBIDOPA LEVODOPA ENT 100ML
J7342 0 HCPCS / CPT® CIPROFLOXACIN OTIC SUSP 6 MG
J7500 0 HCPCS / CPT® AZATHIOPRINE ORAL 50MG
J7501 0 HCPCS / CPT® AZATHIOPRINE PARENTERAL
J7502 65 HCPCS / CPT® CYCLOSPORINE ORAL 100 MG
J7503 0 HCPCS / CPT® TACROL ENVARSUS EX REL ORAL
J7504 0 HCPCS / CPT® LYMPHOCYTE IMMUNE GLOBULIN
J7505 0 HCPCS / CPT® MONOCLONAL ANTIBODIES
J7507 65 HCPCS / CPT® TACROLIMUS IMME REL ORAL 1MG
J7508 0 HCPCS / CPT® TACROL ASTAGRAF EX REL ORAL
J7509 0 HCPCS / CPT® METHYLPREDNISOLONE ORAL
J7510 11 HCPCS / CPT® PREDNISOLONE ORAL PER 5 MG
J7511 0 HCPCS / CPT® ANTITHYMOCYTE GLOBULN RABBIT
J7512 11 HCPCS / CPT® PREDNISONE IR OR DR ORAL 1MG
J7513 0 HCPCS / CPT® DACLIZUMAB, PARENTERAL
J7515 0 HCPCS / CPT® CYCLOSPORINE ORAL 25 MG
J7516 0 HCPCS / CPT® CYCLOSPORIN PARENTERAL 250MG
J7517 0 HCPCS / CPT® MYCOPHENOLATE MOFETIL ORAL
J7518 0 HCPCS / CPT® MYCOPHENOLIC ACID
J7520 0 HCPCS / CPT® SIROLIMUS, ORAL
J7525 0 HCPCS / CPT® TACROLIMUS INJECTION
J7527 0 HCPCS / CPT® ORAL EVEROLIMUS
J7599 0 HCPCS / CPT® IMMUNOSUPPRESSIVE DRUG NOC
J7604 0 HCPCS / CPT® ACETYLCYSTEINE COMP UNIT
J7605 0 HCPCS / CPT® ARFORMOTEROL NON-COMP UNIT
J7606 0 HCPCS / CPT® FORMOTEROL FUMARATE, INH
J7607 16 HCPCS / CPT® LEVALBUTEROL COMP CON
J7608 0 HCPCS / CPT® ACETYLCYSTEINE NON-COMP UNIT
J7609 0 HCPCS / CPT® ALBUTEROL COMP UNIT
J7610 17 HCPCS / CPT® ALBUTEROL COMP CON
J7611 17 HCPCS / CPT® ALBUTEROL NON-COMP CON
J7612 0 HCPCS / CPT® LEVALBUTEROL NON-COMP CON
J7613 65 HCPCS / CPT® ALBUTEROL NON-COMP UNIT
J7614 19 HCPCS / CPT® LEVALBUTEROL NON-COMP UNIT
J7615 16 HCPCS / CPT® LEVALBUTEROL COMP UNIT
J7620 65 HCPCS / CPT® ALBUTEROL IPRATROP NON-COMP
J7622 0 HCPCS / CPT® BECLOMETHASONE COMP UNIT
J7624 0 HCPCS / CPT® BETAMETHASONE COMP UNIT
J7626 0 HCPCS / CPT® BUDESONIDE NON-COMP UNIT
J7627 0 HCPCS / CPT® BUDESONIDE COMP UNIT
J7628 0 HCPCS / CPT® BITOLTEROL MESYLATE COMP CON
J7629 0 HCPCS / CPT® BITOLTEROL MESYLATE COMP UNT
J7631 0 HCPCS / CPT® CROMOLYN SODIUM NONCOMP UNIT
J7632 0 HCPCS / CPT® CROMOLYN SODIUM COMP UNIT
J7633 0 HCPCS / CPT® BUDESONIDE NON-COMP CON
J7634 0 HCPCS / CPT® BUDESONIDE COMP CON
J7635 0 HCPCS / CPT® ATROPINE COMP CON
J7636 0 HCPCS / CPT® ATROPINE COMP UNIT
J7637 65 HCPCS / CPT® DEXAMETHASONE COMP CON
J7638 65 HCPCS / CPT® DEXAMETHASONE COMP UNIT
J7639 0 HCPCS / CPT® DORNASE ALFA NON-COMP UNIT
J7640 0 HCPCS / CPT® FORMOTEROL COMP UNIT
J7641 0 HCPCS / CPT® FLUNISOLIDE COMP UNIT
J7642 0 HCPCS / CPT® GLYCOPYRROLATE COMP CON
J7643 0 HCPCS / CPT® GLYCOPYRROLATE COMP UNIT
J7644 28 HCPCS / CPT® IPRATROPIUM BROMIDE NON-COMP
J7645 0 HCPCS / CPT® IPRATROPIUM BROMIDE COMP
J7647 0 HCPCS / CPT® ISOETHARINE COMP CON
J7648 0 HCPCS / CPT® ISOETHARINE NON-COMP CON
J7649 0 HCPCS / CPT® ISOETHARINE NON-COMP UNIT
J7650 0 HCPCS / CPT® ISOETHARINE COMP UNIT
J7657 0 HCPCS / CPT® ISOPROTERENOL COMP CON
J7658 0 HCPCS / CPT® ISOPROTERENOL NON-COMP CON
J7659 0 HCPCS / CPT® ISOPROTERENOL NON-COMP UNIT
J7660 0 HCPCS / CPT® ISOPROTERENOL COMP UNIT
J7665 0 HCPCS / CPT® MANNITOL FOR INHALER
J7667 0 HCPCS / CPT® METAPROTERENOL COMP CON
J7668 0 HCPCS / CPT® METAPROTERENOL NON-COMP CON
J7669 0 HCPCS / CPT® METAPROTERENOL NON-COMP UNIT
J7670 0 HCPCS / CPT® METAPROTERENOL COMP UNIT
J7674 0 HCPCS / CPT® METHACHOLINE CHLORIDE, NEB
J7676 0 HCPCS / CPT® PENTAMIDINE COMP UNIT DOSE
J7680 0 HCPCS / CPT® TERBUTALINE SULF COMP CON
J7681 0 HCPCS / CPT® TERBUTALINE SULF COMP UNIT
J7682 0 HCPCS / CPT® TOBRAMYCIN NON-COMP UNIT
J7683 0 HCPCS / CPT® TRIAMCINOLONE COMP CON
J7684 0 HCPCS / CPT® TRIAMCINOLONE COMP UNIT
J7685 0 HCPCS / CPT® TOBRAMYCIN COMP UNIT
J7686 0 HCPCS / CPT® TREPROSTINIL, NON-COMP UNIT
J7699 7 HCPCS / CPT® INHALATION SOLUTION FOR DME
J7799 65 HCPCS / CPT® NON-INHALATION DRUG FOR DME
J7999 65 HCPCS / CPT® COMPOUNDED DRUG, NOC
J8498 0 HCPCS / CPT® ANTIEMETIC RECTAL/SUPP NOS
J8499 65 HCPCS / CPT® ORAL PRESCRIP DRUG NON CHEMO
J8501 65 HCPCS / CPT® ORAL APREPITANT
J8510 0 HCPCS / CPT® ORAL BUSULFAN
J8515 65 HCPCS / CPT® CABERGOLINE, ORAL 0.25MG
J8520 65 HCPCS / CPT® CAPECITABINE, ORAL, 150 MG
J8521 65 HCPCS / CPT® CAPECITABINE, ORAL, 500 MG
J8530 65 HCPCS / CPT® CYCLOPHOSPHAMIDE ORAL 25 MG
J8540 18 HCPCS / CPT® ORAL DEXAMETHASONE
J8560 65 HCPCS / CPT® ETOPOSIDE ORAL 50 MG
J8562 65 HCPCS / CPT® ORAL FLUDARABINE PHOSPHATE
J8565 65 HCPCS / CPT® GEFITINIB ORAL
J8597 65 HCPCS / CPT® ANTIEMETIC DRUG ORAL NOS
J8600 65 HCPCS / CPT® MELPHALAN ORAL 2 MG
J8610 65 HCPCS / CPT® METHOTREXATE ORAL 2.5 MG
J8650 65 HCPCS / CPT® NABILONE ORAL
J8655 65 HCPCS / CPT® NETUPITANT PALONOSETRON ORAL
J8670 65 HCPCS / CPT® ROLAPITANT, ORAL, 1MG
J8700 65 HCPCS / CPT® TEMOZOLOMIDE
J8705 0 HCPCS / CPT® TOPOTECAN ORAL
J8999 0 HCPCS / CPT® ORAL PRESCRIPTION DRUG CHEMO
J9000 65 HCPCS / CPT® DOXORUBICIN HCL INJECTION
J9015 65 HCPCS / CPT® ALDESLEUKIN INJECTION
J9017 65 HCPCS / CPT® ARSENIC TRIOXIDE INJECTION
J9019 65 HCPCS / CPT® ERWINAZE INJECTION
J9020 65 HCPCS / CPT® ASPARAGINASE, NOS
J9025 65 HCPCS / CPT® AZACITIDINE INJECTION
J9027 128 HCPCS / CPT® CLOFARABINE INJECTION
J9031 65 HCPCS / CPT® BCG LIVE INTRAVESICAL VAC
J9032 65 HCPCS / CPT® INJECTION, BELINOSTAT, 10MG
J9033 65 HCPCS / CPT® INJ., TREANDA 1 MG
J9034 65 HCPCS / CPT® INJ., BENDEKA 1 MG
J9035 65 HCPCS / CPT® BEVACIZUMAB INJECTION
J9039 65 HCPCS / CPT® INJECTION, BLINATUMOMAB
J9040 65 HCPCS / CPT® BLEOMYCIN SULFATE INJECTION
J9041 65 HCPCS / CPT® BORTEZOMIB INJECTION
J9042 65 HCPCS / CPT® BRENTUXIMAB VEDOTIN INJ
J9043 65 HCPCS / CPT® CABAZITAXEL INJECTION
J9045 65 HCPCS / CPT® CARBOPLATIN INJECTION
J9047 65 HCPCS / CPT® INJECTION, CARFILZOMIB, 1 MG
J9050 65 HCPCS / CPT® CARMUSTINE INJECTION
J9055 65 HCPCS / CPT® CETUXIMAB INJECTION
J9060 65 HCPCS / CPT® CISPLATIN 10 MG INJECTION
J9065 65 HCPCS / CPT® INJ CLADRIBINE PER 1 MG
J9070 65 HCPCS / CPT® CYCLOPHOSPHAMIDE 100 MG INJ
J9098 65 HCPCS / CPT® CYTARABINE LIPOSOME INJ
J9100 65 HCPCS / CPT® CYTARABINE HCL 100 MG INJ
J9120 65 HCPCS / CPT® DACTINOMYCIN INJECTION
J9130 65 HCPCS / CPT® DACARBAZINE 100 MG INJ
J9145 65 HCPCS / CPT® INJECTION, DARATUMUMAB 10 MG
J9150 65 HCPCS / CPT® DAUNORUBICIN INJECTION
J9151 65 HCPCS / CPT® DAUNORUBICIN CITRATE INJ
J9155 65 HCPCS / CPT® DEGARELIX INJECTION
J9160 65 HCPCS / CPT® DENILEUKIN DIFTITOX INJ
J9165 65 HCPCS / CPT® DIETHYLSTILBESTROL INJECTION
J9171 65 HCPCS / CPT® DOCETAXEL INJECTION
J9175 65 HCPCS / CPT® ELLIOTTS B SOLUTION PER ML
J9176 65 HCPCS / CPT® INJECTION, ELOTUZUMAB, 1MG
J9178 65 HCPCS / CPT® INJ, EPIRUBICIN HCL, 2 MG
J9179 65 HCPCS / CPT® ERIBULIN MESYLATE INJECTION
J9181 65 HCPCS / CPT® ETOPOSIDE INJECTION
J9185 65 HCPCS / CPT® FLUDARABINE PHOSPHATE INJ
J9190 65 HCPCS / CPT® FLUOROURACIL INJECTION
J9200 65 HCPCS / CPT® FLOXURIDINE INJECTION
J9201 65 HCPCS / CPT® GEMCITABINE HCL INJECTION
J9202 65 HCPCS / CPT® GOSERELIN ACETATE IMPLANT
J9205 65 HCPCS / CPT® INJ IRINOTECAN LIPOSOME 1 MG
J9206 65 HCPCS / CPT® IRINOTECAN INJECTION
J9207 65 HCPCS / CPT® IXABEPILONE INJECTION
J9208 65 HCPCS / CPT® IFOSFAMIDE INJECTION
J9209 65 HCPCS / CPT® MESNA INJECTION
J9211 65 HCPCS / CPT® IDARUBICIN HCL INJECTION
J9212 65 HCPCS / CPT® INTERFERON ALFACON-1 INJ
J9213 65 HCPCS / CPT® INTERFERON ALFA-2A INJ
J9214 65 HCPCS / CPT® INTERFERON ALFA-2B INJ
J9215 65 HCPCS / CPT® INTERFERON ALFA-N3 INJ
J9216 65 HCPCS / CPT® INTERFERON GAMMA 1-B INJ
J9217 65 HCPCS / CPT® LEUPROLIDE ACETATE SUSPNSION
J9218 65 HCPCS / CPT® LEUPROLIDE ACETATE INJECITON
J9219 65 HCPCS / CPT® LEUPROLIDE ACETATE IMPLANT
J9225 65 HCPCS / CPT® VANTAS IMPLANT
J9226 65 HCPCS / CPT® SUPPRELIN LA IMPLANT
J9228 65 HCPCS / CPT® IPILIMUMAB INJECTION
J9230 65 HCPCS / CPT® MECHLORETHAMINE HCL INJ
J9245 65 HCPCS / CPT® INJ MELPHALAN HYDROCHL 50 MG
J9250 65 HCPCS / CPT® METHOTREXATE SODIUM INJ
J9260 65 HCPCS / CPT® METHOTREXATE SODIUM INJ
J9261 65 HCPCS / CPT® NELARABINE INJECTION
J9262 65 HCPCS / CPT® INJ, OMACETAXINE MEP, 0.01MG
J9263 65 HCPCS / CPT® OXALIPLATIN
J9264 65 HCPCS / CPT® PACLITAXEL PROTEIN BOUND
J9266 65 HCPCS / CPT® PEGASPARGASE INJECTION
J9267 65 HCPCS / CPT® PACLITAXEL INJECTION
J9268 65 HCPCS / CPT® PENTOSTATIN INJECTION
J9270 65 HCPCS / CPT® PLICAMYCIN (MITHRAMYCIN) INJ
J9271 65 HCPCS / CPT® INJ PEMBROLIZUMAB
J9280 65 HCPCS / CPT® MITOMYCIN INJECTION
J9293 65 HCPCS / CPT® MITOXANTRONE HYDROCHL / 5 MG
J9295 65 HCPCS / CPT® INJECTION, NECITUMUMAB, 1 MG
J9299 65 HCPCS / CPT® INJECTION, NIVOLUMAB
J9300 65 HCPCS / CPT® GEMTUZUMAB OZOGAMICIN INJ
J9301 65 HCPCS / CPT® OBINUTUZUMAB INJ
J9302 65 HCPCS / CPT® OFATUMUMAB INJECTION
J9303 65 HCPCS / CPT® PANITUMUMAB INJECTION
J9305 65 HCPCS / CPT® PEMETREXED INJECTION
J9306 65 HCPCS / CPT® INJECTION, PERTUZUMAB, 1 MG
J9307 65 HCPCS / CPT® PRALATREXATE INJECTION
J9308 65 HCPCS / CPT® INJECTION, RAMUCIRUMAB
J9310 65 HCPCS / CPT® RITUXIMAB INJECTION
J9315 65 HCPCS / CPT® ROMIDEPSIN INJECTION
J9320 65 HCPCS / CPT® STREPTOZOCIN INJECTION
J9325 65 HCPCS / CPT® INJ TALIMOGENE LAHERPAREPVEC
J9328 65 HCPCS / CPT® TEMOZOLOMIDE INJECTION
J9330 65 HCPCS / CPT® TEMSIROLIMUS INJECTION
J9340 65 HCPCS / CPT® THIOTEPA INJECTION
J9351 65 HCPCS / CPT® TOPOTECAN INJECTION
J9352 65 HCPCS / CPT® INJECTION TRABECTEDIN 0.1MG
J9354 65 HCPCS / CPT® INJ, ADO-TRASTUZUMAB EMT 1MG
J9355 65 HCPCS / CPT® TRASTUZUMAB INJECTION
J9357 65 HCPCS / CPT® VALRUBICIN INJECTION
J9360 65 HCPCS / CPT® VINBLASTINE SULFATE INJ
J9370 65 HCPCS / CPT® VINCRISTINE SULFATE 1 MG INJ
J9371 65 HCPCS / CPT® INJ, VINCRISTINE SUL LIP 1MG
J9390 65 HCPCS / CPT® VINORELBINE TARTRATE INJ
J9395 65 HCPCS / CPT® INJECTION, FULVESTRANT
J9400 65 HCPCS / CPT® INJ, ZIV-AFLIBERCEPT, 1MG
J9600 65 HCPCS / CPT® PORFIMER SODIUM INJECTION
J9999 65 HCPCS / CPT® CHEMOTHERAPY DRUG
K0001 0 HCPCS / CPT® STANDARD WHEELCHAIR
K0002 0 HCPCS / CPT® STND HEMI (LOW SEAT) WHLCHR
K0003 0 HCPCS / CPT® LIGHTWEIGHT WHEELCHAIR
K0004 0 HCPCS / CPT® HIGH STRENGTH LTWT WHLCHR
K0005 0 HCPCS / CPT® ULTRALIGHTWEIGHT WHEELCHAIR
K0006 0 HCPCS / CPT® HEAVY DUTY WHEELCHAIR
K0007 0 HCPCS / CPT® EXTRA HEAVY DUTY WHEELCHAIR
K0008 0 HCPCS / CPT® CSTM MANUAL WHEELCHAIR/BASE
K0009 0 HCPCS / CPT® OTHER MANUAL WHEELCHAIR/BASE
K0010 0 HCPCS / CPT® STND WT FRAME POWER WHLCHR