HCPCS Code Section: HCPCS J Codes

Loxapine for inhalation, 1 mg Short Description: Loxapine for inhalation 1 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 Effective …

Injection, furosemide, up to 20 mg Short Description: Furosemide injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1982 Effective …

Injection, lorazepam, 2 mg Short Description: Lorazepam injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1982 Effective Date: January …

Injection, linezolid, 200 mg Short Description: Linezolid injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2002 Effective Date: January 1, 2018 …

Injection, lincomycin hcl, up to 300 mg Short Description: Lincomycin injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1982 …

Injection, lidocaine hcl for intravenous infusion, 10 mg Short Description: Lidocaine injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, chlordiazepoxide hcl, up to 100 mg Short Description: Chlordiazepoxide injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1982 …

Injection, hyoscyamine sulfate, up to 0.25 mg Short Description: Hyoscyamine sulfate inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, levorphanol tartrate, up to 2 mg Short Description: Levorphanol tartrate inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, levofloxacin, 250 mg Short Description: Levofloxacin injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1999 Effective Date: January …