HCPCS Code Section: HCPCS J Codes

Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine Short Description: Bupren/nal 3.1 to 6mg bupren Coverage Code: Special coverage instructions apply Action …

Injection, c-1 esterase inhibitor (human), cinryze, 10 units Short Description: C-1 esterase, cinryze Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2010 …

Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine Short Description: Bupren/nal up to 3mg bupreno Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

Injection, c-1 esterase inhibitor (human), berinert, 10 units Short Description: C-1 esterase, berinert Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2011 …

Buprenorphine, oral, 1 mg Short Description: Buprenorphine oral 1mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2015 Effective Date: …

Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units Short Description: Injection, ruconest Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2016 Effective …

Injection, butorphanol tartrate, 1 mg Short Description: Butorphanol tartrate 1 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2004 Effective Date: …

injection, busulfan, 1 mg Short Description: Busulfan injection Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2007 Effective Date: January 1, 2007 …

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

Injection, buprenorphine hydrochloride, 0.1 mg Short Description: Buprenorphine hydrochloride Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2003 Effective Date: …