HCPCS Code Section: HCPCS J Codes

Injection, somatrem, 1 mg Short Description: Somatrem injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2002 Effective Date: January …

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

Injection, methylprednisolone sodium succinate, up to 125 mg Short Description: Methylprednisolone injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, tenecteplase, 1 mg Short Description: Tenecteplase injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 Effective Date: January 1, 2009 …

Injection, telavancin, 10 mg Short Description: Telavancin injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2011 Effective Date: January 1, 2011 …

Injection, tedizolid phosphate, 1 mg Short Description: Inj tedizolid phosphate Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2016 Effective Date: January …

Injection, pentazocine, 30 mg Short Description: Pentazocine injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1982 Effective Date: January …

Injection, taliglucerase alfa, 10 units Short Description: Inj, taliglucerase alfa 10 u Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2014 Effective …

Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) Short Description: …

Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) …