HCPCS Code Section: HCPCS J Codes

Levonorgestrel (contraceptive) implant system, including implants and supplies Short Description: Levonorgestrel implant sys Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January …

Contraceptive supply, hormone containing patch, each Short Description: Contraceptive hormone patch Coverage Code: Non-covered by Medicare statute Action Code: No maintenance for this code Date Added: January 1, 2005 …

Contraceptive supply, hormone containing vaginal ring, each Short Description: Contraceptive vaginal ring Coverage Code: Non-covered by Medicare statute Action Code: No maintenance for this code Date Added: January 1, …

Levonorgestrel-releasing intrauterine contraceptive system, 52 mg Short Description: Levonorgestrel iu 52 mg Coverage Code: Non-covered by Medicare statute Action Code: No maintenance for this code Date Added: January 1, …

Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg Short Description: Skyla, 13.5 mg Coverage Code: Non-covered by Medicare statute Action Code: No maintenance for this code Date Added: January 1, …

Intrauterine copper contraceptive Short Description: Intraut copper contraceptive Coverage Code: Non-covered by Medicare statute Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January …

Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg Short Description: Mirena, 52 mg Coverage Code: Non-covered by Medicare statute Action Code: No maintenance for this code Date Added: January 1, …

Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg Short Description: Liletta, 52 mg Coverage Code: Non-covered by Medicare statute Action Code: No maintenance for this code Date Added: January 1, …

Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg Short Description: Kyleena, 19.5 mg Coverage Code: Non-covered by Medicare statute Action Code: No maintenance for this code Date Added: January 1, …

Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. Short Description: Inj, kovaltry, 1 i.u. Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …