HCPCS Code Section: HCPCS J Codes

Injection, alefacept, 0.5 mg Short Description: Alefacept Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2004 Effective Date: January 1, 2018 Termination …

Injection, methyldopate hcl, up to 250 mg Short Description: Methyldopate hcl injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, amifostine, 500 mg Short Description: Amifostine Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1998 Effective Date: January 1, …

Injection, alglucerase, per 10 units Short Description: Alglucerase injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1993 Effective Date: …

Injection, alemtuzumab, 1 mg Short Description: Injection, alemtuzumab Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2016 Effective Date: January 1, 2016 …

Injection, alatrofloxacin mesylate, 100 mg Short Description: Alatrofloxacin mesylate Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2000 Effective Date: …

Injection, biperiden lactate, per 5 mg Short Description: Inj biperiden lactate/5 mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, aprepitant, 1 mg Short Description: Inj., aprepitant, 1 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 Effective Date: January …

Injection, agalsidase beta, 1 mg Short Description: Agalsidase beta injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2005 Effective Date: January …

Injection, brolucizumab-dbll, 1 mg Short Description: Inj, brolucizumab-dbll, 1 mg Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: January 1, 2020 Effective Date: January …