HCPCS Code Section: HCPCS J Codes

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, …

Injection, oritavancin, 10 mg Short Description: Injection, oritavancin Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2016 Effective Date: January …

Injection, ondansetron hydrochloride, per 1 mg Short Description: Ondansetron hcl injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1993 …

Injection, chloroprocaine hydrochloride, per 30 ml Short Description: Chloroprocaine hcl injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 …

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

Injection, orphenadrine citrate, up to 60 mg Short Description: Orphenadrine injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1982 …

Injection, olanzapine, long-acting, 1 mg Short Description: Olanzapine long-acting inj Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2011 Effective Date: January …