HCPCS Code Section: HCPCS J Codes

Injection, spectinomycin dihydrochloride, up to 2 gm Short Description: Spectinomycn di-hcl inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, triptorelin, extended-release, 3.75 mg Short Description: Inj., triptorelin xr 3.75 mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, triflupromazine hcl, up to 20 mg Short Description: Triflupromazine hcl inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, triptorelin pamoate, 3.75 mg Short Description: Triptorelin pamoate Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2003 Effective Date: …

Injection, voretigene neparvovec-rzyl, 1 billion vector genomes Short Description: Inj luxturna 1 billion vec g Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Injection, perphenazine, up to 5 mg Short Description: Perphenazine injeciton Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1982 Effective …

Injection, vestronidase alfa-vjbk, 1 mg Short Description: Inj., vestronidase alfa-vjbk Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 Effective Date: January …

Injection, trimetrexate glucuronate, per 25 mg Short Description: Inj trimetrexate glucoronate Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1996 …

Injection, verteporfin, 0.1 mg Short Description: Verteporfin injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2005 Effective Date: January …

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg Short Description: Inj triamcinolone ace xr 1mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …