HCPCS Code Section: HCPCS J Codes

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

Injection, anistreplase, per 30 units Short Description: Injection anistreplase 30 u Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 …

Injection, anidulafungin, 1 mg Short Description: Anidulafungin injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2007 Effective Date: January 1, 2014 …

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

Injection, amobarbital, up to 125 mg Short Description: Amobarbital 125 mg inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm Short Description: Ampicillin sulbactam 1.5 gm Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …

Injection, plazomicin, 5 mg Short Description: Inj., plazomicin, 5 mg Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: October 1, 2019 Effective Date: October …

Injection, ampicillin sodium, 500 mg Short Description: Ampicillin 500 mg inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1984 …

Injection, amphotericin b liposome, 10 mg Short Description: Amphotericin b liposome inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, amphotericin b cholesteryl sulfate complex, 10 mg Short Description: Ampho b cholesteryl sulfate Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …