HCPCS Code Section: HCPCS J Codes

Injection, gold sodium thiomalate, up to 50 mg Short Description: Gold sodium thiomaleate inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg Short Description: Ivig non-lyophilized, nos Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Injection, glatiramer acetate, 20 mg Short Description: Injection glatiramer acetate Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2004 Effective …

Injection, gatifloxacin, 10 mg Short Description: Gatifloxacin injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2002 Effective Date: January 1, 2017 …

Injection, garamycin, gentamicin, up to 80 mg Short Description: Garamycin gentamicin inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin Short Description: Hyqvia 100mg immuneglobulin Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2016 Effective …

Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml Short Description: Hepagam b intravenous, inj Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Injection, hemin, 1 mg Short Description: Hemin, 1 mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2006 Effective Date: …

Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg Short Description: Flebogamma injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

Injection, haloperidol decanoate, per 50 mg Short Description: Haloperidol decanoate inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1989 …