HCPCS Code Section: HCPCS J Codes

Injection, oxytetracycline hcl, up to 50 mg Short Description: Oxytetracycline injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1982 …

Injection, ocrelizumab, 1 mg Short Description: Injection, ocrelizumab, 1 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2018 Effective Date: January …

Injection, papaverine hcl, up to 60 mg Short Description: Papaverin hcl injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, nusinersen, 0.1 mg Short Description: Inj, nusinersen, 0.1mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2018 Effective Date: January 1, …

Injection, pamidronate disodium, per 30 mg Short Description: Pamidronate disodium /30 mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, nesiritide, 0.1 mg Short Description: Nesiritide injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2006 Effective Date: January …

Injection, paliperidone palmitate extended release, 1 mg Short Description: Paliperidone palmitate inj Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2011 Effective …

Injection, natalizumab, 1 mg Short Description: Natalizumab injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2008 Effective Date: January 1, 2008 …

Injection, palifermin, 50 micrograms Short Description: Palifermin injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2006 Effective Date: January 1, 2006 …

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