HCPCS Code Section: HCPCS J Codes

Injection, meperidine hydrochloride, per 100 mg Short Description: Meperidine hydrochl /100 mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, aripiprazole lauroxil, (aristada), 1 mg Short Description: Aripirazole lauroxil 1 mg Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: October 1, 2019 Effective …

Injection, mecasermin, 1 mg Short Description: Mecasermin injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2007 Effective Date: January 1, 2007 …

Injection, aripiprazole lauroxil, (aristada initio), 1 mg Short Description: Inj., aristada initio, 1 mg Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: October 1, …

Injection, mannitol, 25% in 50 ml Short Description: Mannitol injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 Effective …

Injection, aripiprazole lauroxil, 1 mg Short Description: Aripiprazole lauroxil 1mg Coverage Code: Carrier judgment Action Code: Discontinue procedure or modifier code Date Added: January 1, 2017 Effective Date: October …

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 …