HCPCS Code Section: HCPCS J Codes

Injection, hydroxyprogesterone caproate, (makena), 10 mg Short Description: Makena, 10 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2018 Effective Date: …

Injection, hydroxyprogesterone caproate, 1 mg Short Description: Hydroxyprogesterone caproate Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2012 Effective Date: …

Injection, hydrocortisone sodium succinate, up to 100 mg Short Description: Hydrocortisone sodium succ i Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Injection, hydrocortisone sodium phosphate, up to 50 mg Short Description: Hydrocortisone sodium ph inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

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 …