HCPCS Code Section: HCPCS J Codes

Injection, hydrocortisone acetate, up to 25 mg Short Description: Hydrocortisone acetate inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, histrelin acetate, 10 micrograms Short Description: Histrelin acetate Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2006 Effective Date: …

Injection, tetanus immune globulin, human, up to 250 units Short Description: Tetanus immune globulin inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

Injection, tinzaparin sodium, 1000 iu Short Description: Tinzaparin sodium injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2002 Effective Date: July …

Injection, fondaparinux sodium, 0.5 mg Short Description: Fondaparinux sodium Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2003 Effective Date: …

Injection, icatibant, 1 mg Short Description: Icatibant injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2013 Effective Date: January 1, 2013 …

Injection, enoxaparin sodium, 10 mg Short Description: Inj enoxaparin sodium Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1996 Effective Date: January …

Injection, idursulfase, 1 mg Short Description: Idursulfase injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2008 Effective Date: January 1, 2008 …

Injection, dalteparin sodium, per 2500 iu Short Description: Dalteparin sodium Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1997 Effective …

Injection, ibutilide fumarate, 1 mg Short Description: Ibutilide fumarate injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1998 Effective …