HCPCS Code Section: HCPCS J Codes

Injection, atropine sulfate, 0.01 mg Short Description: Atropine sulfate injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2010 Effective …

Buprenorphine implant, 74.2 mg Short Description: Buprenorphine implant 74.2mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2017 Effective Date: January 1, …

Injection, azithromycin, 500 mg Short Description: Azithromycin Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2000 Effective Date: January 1, …

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

Injection, aripiprazole, extended release, 1 mg Short Description: Inj aripiprazole ext rel 1mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2014 …

Injection, bezlotoxumab, 10 mg Short Description: Inj, bezlotoxumab, 10 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2018 Effective Date: January …

Injection, aripiprazole, intramuscular, 0.25 mg Short Description: Aripiprazole injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2008 Effective Date: January 1, …

Injection, penicillin g benzathine, 100,000 units Short Description: Penicillin g benzathine inj Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Injection, arbutamine hcl, 1 mg Short Description: Arbutamine hcl injection Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1999 Effective …

Injection, penicillin g benzathine and penicillin g procaine, 100,000 units Short Description: Peng benzathine/procaine inj Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …