HCPCS Code Section: HCPCS J Codes

Injection, methylergonovine maleate, up to 0.2 mg Short Description: Methylergonovin maleate inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, nandrolone decanoate, up to 50 mg Short Description: Nandrolone decanoate 50 mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …

Injection, meropenem and vaborbactam, 10mg/10mg (20mg) Short Description: Inj., meropenem, vaborbactam Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 Effective Date: …

Injection, naltrexone, depot form, 1 mg Short Description: Naltrexone, depot form Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2007 Effective Date: …

Injection, meropenem, 100 mg Short Description: Meropenem Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2004 Effective Date: January 1, 2004 Termination …

Injection, naloxone hydrochloride, per 1 mg Short Description: Inj naloxone hydrochloride Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1996 …

Injection, mepolizumab, 1 mg Short Description: Injection, mepolizumab, 1mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2017 Effective Date: January 1, …

Injection, nalbuphine hydrochloride, per 10 mg Short Description: Inj nalbuphine hydrochloride Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1996 …

Injection, meperidine and promethazine hcl, up to 50 mg Short Description: Meperidine/promethazine inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …

Injection, moxifloxacin, 100 mg Short Description: Inj, moxifloxacin 100 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2004 Effective Date: January …