List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes) - Group J1



HCPCS Code: J1
Short Description: Cap no-pay for prescript num
Long Description: Competitive acquisition program no-pay submission for a prescription number

HCPCS Code: J1000
Short Description: Depo-estradiol cypionate inj
Long Description: Injection, depo-estradiol cypionate, up to 5 mg

HCPCS Code: J1020
Short Description: Methylprednisolone 20 mg inj
Long Description: Injection, methylprednisolone acetate, 20 mg

HCPCS Code: J1030
Short Description: Methylprednisolone 40 mg inj
Long Description: Injection, methylprednisolone acetate, 40 mg

HCPCS Code: J1040
Short Description: Methylprednisolone 80 mg inj
Long Description: Injection, methylprednisolone acetate, 80 mg

HCPCS Code: J1050
Short Description: Medroxyprogesterone acetate
Long Description: Injection, medroxyprogesterone acetate, 1 mg

HCPCS Code: J1060
Short Description: Testosterone cypionate 1 ml
Long Description: Injection, testosterone cypionate and estradiol cypionate, up to 1 ml

HCPCS Code: J1070
Short Description: Testosterone cypionat 100 mg
Long Description: Injection, testosterone cypionate, up to 100 mg

HCPCS Code: J1071
Short Description: Inj testosterone cypionate
Long Description: Injection, testosterone cypionate, 1 mg

HCPCS Code: J1080
Short Description: Testosterone cypionat 200 mg
Long Description: Injection, testosterone cypionate, 1 cc, 200 mg

HCPCS Code: J1094
Short Description: Inj dexamethasone acetate
Long Description: Injection, dexamethasone acetate, 1 mg

HCPCS Code: J1100
Short Description: Dexamethasone sodium phos
Long Description: Injection, dexamethasone sodium phosphate, 1 mg

HCPCS Code: J1110
Short Description: Inj dihydroergotamine mesylt
Long Description: Injection, dihydroergotamine mesylate, per 1 mg

HCPCS Code: J1120
Short Description: Acetazolamid sodium injectio
Long Description: Injection, acetazolamide sodium, up to 500 mg

HCPCS Code: J1130
Short Description: Inj diclofenac sodium 0.5mg
Long Description: Injection, diclofenac sodium, 0.5 mg

HCPCS Code: J1160
Short Description: Digoxin injection
Long Description: Injection, digoxin, up to 0.5 mg

HCPCS Code: J1162
Short Description: Digoxin immune fab (ovine)
Long Description: Injection, digoxin immune fab (ovine), per vial

HCPCS Code: J1165
Short Description: Phenytoin sodium injection
Long Description: Injection, phenytoin sodium, per 50 mg

HCPCS Code: J1170
Short Description: Hydromorphone injection
Long Description: Injection, hydromorphone, up to 4 mg

HCPCS Code: J1180
Short Description: Dyphylline injection
Long Description: Injection, dyphylline, up to 500 mg

HCPCS Code: J1190
Short Description: Dexrazoxane hcl injection
Long Description: Injection, dexrazoxane hydrochloride, per 250 mg

HCPCS Code: J1200
Short Description: Diphenhydramine hcl injectio
Long Description: Injection, diphenhydramine hcl, up to 50 mg

HCPCS Code: J1205
Short Description: Chlorothiazide sodium inj
Long Description: Injection, chlorothiazide sodium, per 500 mg

HCPCS Code: J1212
Short Description: Dimethyl sulfoxide 50% 50 ml
Long Description: Injection, dmso, dimethyl sulfoxide, 50%, 50 ml

HCPCS Code: J1230
Short Description: Methadone injection
Long Description: Injection, methadone hcl, up to 10 mg

HCPCS Code: J1240
Short Description: Dimenhydrinate injection
Long Description: Injection, dimenhydrinate, up to 50 mg

HCPCS Code: J1245
Short Description: Dipyridamole injection
Long Description: Injection, dipyridamole, per 10 mg

HCPCS Code: J1250
Short Description: Inj dobutamine hcl/250 mg
Long Description: Injection, dobutamine hydrochloride, per 250 mg

HCPCS Code: J1260
Short Description: Dolasetron mesylate
Long Description: Injection, dolasetron mesylate, 10 mg

HCPCS Code: J1265
Short Description: Dopamine injection
Long Description: Injection, dopamine hcl, 40 mg

HCPCS Code: J1267
Short Description: Doripenem injection
Long Description: Injection, doripenem, 10 mg

HCPCS Code: J1270
Short Description: Injection, doxercalciferol
Long Description: Injection, doxercalciferol, 1 mcg

HCPCS Code: J1290
Short Description: Ecallantide injection
Long Description: Injection, ecallantide, 1 mg

HCPCS Code: J1300
Short Description: Eculizumab injection
Long Description: Injection, eculizumab, 10 mg

HCPCS Code: J1320
Short Description: Amitriptyline injection
Long Description: Injection, amitriptyline hcl, up to 20 mg

HCPCS Code: J1322
Short Description: Elosulfase alfa, injection
Long Description: Injection, elosulfase alfa, 1 mg

HCPCS Code: J1324
Short Description: Enfuvirtide injection
Long Description: Injection, enfuvirtide, 1 mg

HCPCS Code: J1325
Short Description: Epoprostenol injection
Long Description: Injection, epoprostenol, 0.5 mg

HCPCS Code: J1327
Short Description: Eptifibatide injection
Long Description: Injection, eptifibatide, 5 mg

HCPCS Code: J1330
Short Description: Ergonovine maleate injection
Long Description: Injection, ergonovine maleate, up to 0.2 mg

HCPCS Code: J1335
Short Description: Ertapenem injection
Long Description: Injection, ertapenem sodium, 500 mg

HCPCS Code: J1364
Short Description: Erythro lactobionate /500 mg
Long Description: Injection, erythromycin lactobionate, per 500 mg

HCPCS Code: J1380
Short Description: Estradiol valerate 10 mg inj
Long Description: Injection, estradiol valerate, up to 10 mg

HCPCS Code: J1410
Short Description: Inj estrogen conjugate 25 mg
Long Description: Injection, estrogen conjugated, per 25 mg

HCPCS Code: J1428
Short Description: Inj, eteplirsen, 10 mg
Long Description: Injection, eteplirsen, 10 mg

HCPCS Code: J1430
Short Description: Ethanolamine oleate 100 mg
Long Description: Injection, ethanolamine oleate, 100 mg

HCPCS Code: J1435
Short Description: Injection estrone per 1 mg
Long Description: Injection, estrone, per 1 mg

HCPCS Code: J1436
Short Description: Etidronate disodium inj
Long Description: Injection, etidronate disodium, per 300 mg

HCPCS Code: J1438
Short Description: Etanercept injection
Long Description: Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

HCPCS Code: J1439
Short Description: Inj ferric carboxymaltos 1mg
Long Description: Injection, ferric carboxymaltose, 1 mg

HCPCS Code: J1442
Short Description: Inj filgrastim excl biosimil
Long Description: Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram

HCPCS Code: J1443
Short Description: Inj ferric pyrophosphate cit
Long Description: Injection, ferric pyrophosphate citrate solution, 0.1 mg of iron

HCPCS Code: J1446
Short Description: Inj, tbo-filgrastim, 5 mcg
Long Description: Injection, tbo-filgrastim, 5 micrograms

HCPCS Code: J1447
Short Description: Inj tbo filgrastim 1 microg
Long Description: Injection, tbo-filgrastim, 1 microgram

HCPCS Code: J1450
Short Description: Fluconazole
Long Description: Injection fluconazole, 200 mg

HCPCS Code: J1451
Short Description: Fomepizole, 15 mg
Long Description: Injection, fomepizole, 15 mg

HCPCS Code: J1452
Short Description: Intraocular fomivirsen na
Long Description: Injection, fomivirsen sodium, intraocular, 1.65 mg

HCPCS Code: J1453
Short Description: Fosaprepitant injection
Long Description: Injection, fosaprepitant, 1 mg

HCPCS Code: J1455
Short Description: Foscarnet sodium injection
Long Description: Injection, foscarnet sodium, per 1000 mg

HCPCS Code: J1457
Short Description: Gallium nitrate injection
Long Description: Injection, gallium nitrate, 1 mg

HCPCS Code: J1458
Short Description: Galsulfase injection
Long Description: Injection, galsulfase, 1 mg

HCPCS Code: J1459
Short Description: Inj ivig privigen 500 mg
Long Description: Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg

HCPCS Code: J1460
Short Description: Gamma globulin 1 cc inj
Long Description: Injection, gamma globulin, intramuscular, 1 cc

HCPCS Code: J1555
Short Description: Inj cuvitru, 100 mg
Long Description: Injection, immune globulin (cuvitru), 100 mg

HCPCS Code: J1556
Short Description: Inj, imm glob bivigam, 500mg
Long Description: Injection, immune globulin (bivigam), 500 mg

HCPCS Code: J1557
Short Description: Gammaplex injection
Long Description: Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg

HCPCS Code: J1559
Short Description: Hizentra injection
Long Description: Injection, immune globulin (hizentra), 100 mg

HCPCS Code: J1560
Short Description: Gamma globulin > 10 cc inj
Long Description: Injection, gamma globulin, intramuscular, over 10 cc

HCPCS Code: J1561
Short Description: Gamunex-c/gammaked
Long Description: Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg

HCPCS Code: J1562
Short Description: Vivaglobin, inj
Long Description: Injection, immune globulin (vivaglobin), 100 mg

HCPCS Code: J1566
Short Description: Immune globulin, powder
Long Description: Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

HCPCS Code: J1568
Short Description: Octagam injection
Long Description: Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg

HCPCS Code: J1569
Short Description: Gammagard liquid injection
Long Description: Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg

HCPCS Code: J1570
Short Description: Ganciclovir sodium injection
Long Description: Injection, ganciclovir sodium, 500 mg

HCPCS Code: J1571
Short Description: Hepagam b im injection
Long Description: Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml

HCPCS Code: J1572
Short Description: Flebogamma injection
Long Description: Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg

HCPCS Code: J1573
Short Description: Hepagam b intravenous, inj
Long Description: Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml

HCPCS Code: J1575
Short Description: Hyqvia 100mg immuneglobulin
Long Description: Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin

HCPCS Code: J1580
Short Description: Garamycin gentamicin inj
Long Description: Injection, garamycin, gentamicin, up to 80 mg

HCPCS Code: J1590
Short Description: Gatifloxacin injection
Long Description: Injection, gatifloxacin, 10 mg

HCPCS Code: J1595
Short Description: Injection glatiramer acetate
Long Description: Injection, glatiramer acetate, 20 mg

HCPCS Code: J1599
Short Description: Ivig non-lyophilized, nos
Long Description: Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg

HCPCS Code: J1600
Short Description: Gold sodium thiomaleate inj
Long Description: Injection, gold sodium thiomalate, up to 50 mg

HCPCS Code: J1602
Short Description: Golimumab for iv use 1mg
Long Description: Injection, golimumab, 1 mg, for intravenous use

HCPCS Code: J1610
Short Description: Glucagon hydrochloride/1 mg
Long Description: Injection, glucagon hydrochloride, per 1 mg

HCPCS Code: J1620
Short Description: Gonadorelin hydroch/ 100 mcg
Long Description: Injection, gonadorelin hydrochloride, per 100 mcg

HCPCS Code: J1626
Short Description: Granisetron hcl injection
Long Description: Injection, granisetron hydrochloride, 100 mcg

HCPCS Code: J1627
Short Description: Inj, granisetron, xr, 0.1 mg
Long Description: Injection, granisetron, extended-release, 0.1 mg

HCPCS Code: J1630
Short Description: Haloperidol injection
Long Description: Injection, haloperidol, up to 5 mg

HCPCS Code: J1631
Short Description: Haloperidol decanoate inj
Long Description: Injection, haloperidol decanoate, per 50 mg

HCPCS Code: J1640
Short Description: Hemin, 1 mg
Long Description: Injection, hemin, 1 mg

HCPCS Code: J1642
Short Description: Inj heparin sodium per 10 u
Long Description: Injection, heparin sodium, (heparin lock flush), per 10 units

HCPCS Code: J1644
Short Description: Inj heparin sodium per 1000u
Long Description: Injection, heparin sodium, per 1000 units

HCPCS Code: J1645
Short Description: Dalteparin sodium
Long Description: Injection, dalteparin sodium, per 2500 iu

HCPCS Code: J1650
Short Description: Inj enoxaparin sodium
Long Description: Injection, enoxaparin sodium, 10 mg

HCPCS Code: J1652
Short Description: Fondaparinux sodium
Long Description: Injection, fondaparinux sodium, 0.5 mg

HCPCS Code: J1655
Short Description: Tinzaparin sodium injection
Long Description: Injection, tinzaparin sodium, 1000 iu

HCPCS Code: J1670
Short Description: Tetanus immune globulin inj
Long Description: Injection, tetanus immune globulin, human, up to 250 units

HCPCS Code: J1675
Short Description: Histrelin acetate
Long Description: Injection, histrelin acetate, 10 micrograms

HCPCS Code: J1700
Short Description: Hydrocortisone acetate inj
Long Description: Injection, hydrocortisone acetate, up to 25 mg

HCPCS Code: J1710
Short Description: Hydrocortisone sodium ph inj
Long Description: Injection, hydrocortisone sodium phosphate, up to 50 mg

HCPCS Code: J1720
Short Description: Hydrocortisone sodium succ i
Long Description: Injection, hydrocortisone sodium succinate, up to 100 mg

HCPCS Code: J1725
Short Description: Hydroxyprogesterone caproate
Long Description: Injection, hydroxyprogesterone caproate, 1 mg

HCPCS Code: J1726
Short Description: Makena, 10 mg
Long Description: Injection, hydroxyprogesterone caproate, (makena), 10 mg

HCPCS Code: J1729
Short Description: Inj hydroxyprogst capoat nos
Long Description: Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

HCPCS Code: J1730
Short Description: Diazoxide injection
Long Description: Injection, diazoxide, up to 300 mg

HCPCS Code: J1740
Short Description: Ibandronate sodium injection
Long Description: Injection, ibandronate sodium, 1 mg

HCPCS Code: J1741
Short Description: Ibuprofen injection
Long Description: Injection, ibuprofen, 100 mg

HCPCS Code: J1742
Short Description: Ibutilide fumarate injection
Long Description: Injection, ibutilide fumarate, 1 mg

HCPCS Code: J1743
Short Description: Idursulfase injection
Long Description: Injection, idursulfase, 1 mg

HCPCS Code: J1744
Short Description: Icatibant injection
Long Description: Injection, icatibant, 1 mg

HCPCS Code: J1745
Short Description: Infliximab not biosimil 10mg
Long Description: Injection, infliximab, excludes biosimilar, 10 mg

HCPCS Code: J1750
Short Description: Inj iron dextran
Long Description: Injection, iron dextran, 50 mg

HCPCS Code: J1756
Short Description: Iron sucrose injection
Long Description: Injection, iron sucrose, 1 mg

HCPCS Code: J1786
Short Description: Imuglucerase injection
Long Description: Injection, imiglucerase, 10 units

HCPCS Code: J1790
Short Description: Droperidol injection
Long Description: Injection, droperidol, up to 5 mg

HCPCS Code: J1800
Short Description: Propranolol injection
Long Description: Injection, propranolol hcl, up to 1 mg

HCPCS Code: J1810
Short Description: Droperidol/fentanyl inj
Long Description: Injection, droperidol and fentanyl citrate, up to 2 ml ampule

HCPCS Code: J1815
Short Description: Insulin injection
Long Description: Injection, insulin, per 5 units

HCPCS Code: J1817
Short Description: Insulin for insulin pump use
Long Description: Insulin for administration through dme (i.e., insulin pump) per 50 units

HCPCS Code: J1826
Short Description: Interferon beta-1a inj
Long Description: Injection, interferon beta-1a, 30 mcg

HCPCS Code: J1830
Short Description: Interferon beta-1b / .25 mg
Long Description: Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

HCPCS Code: J1833
Short Description: Injection, isavuconazonium
Long Description: Injection, isavuconazonium, 1 mg

HCPCS Code: J1835
Short Description: Itraconazole injection
Long Description: Injection, itraconazole, 50 mg

HCPCS Code: J1840
Short Description: Kanamycin sulfate 500 mg inj
Long Description: Injection, kanamycin sulfate, up to 500 mg

HCPCS Code: J1850
Short Description: Kanamycin sulfate 75 mg inj
Long Description: Injection, kanamycin sulfate, up to 75 mg

HCPCS Code: J1885
Short Description: Ketorolac tromethamine inj
Long Description: Injection, ketorolac tromethamine, per 15 mg

HCPCS Code: J1890
Short Description: Cephalothin sodium injection
Long Description: Injection, cephalothin sodium, up to 1 gram

HCPCS Code: J1930
Short Description: Lanreotide injection
Long Description: Injection, lanreotide, 1 mg

HCPCS Code: J1931
Short Description: Laronidase injection
Long Description: Injection, laronidase, 0.1 mg

HCPCS Code: J1940
Short Description: Furosemide injection
Long Description: Injection, furosemide, up to 20 mg

HCPCS Code: J1942
Short Description: Aripiprazole lauroxil 1mg
Long Description: Injection, aripiprazole lauroxil, 1 mg

HCPCS Code: J1945
Short Description: Lepirudin
Long Description: Injection, lepirudin, 50 mg

HCPCS Code: J1950
Short Description: Leuprolide acetate /3.75 mg
Long Description: Injection, leuprolide acetate (for depot suspension), per 3.75 mg

HCPCS Code: J1953
Short Description: Levetiracetam injection
Long Description: Injection, levetiracetam, 10 mg

HCPCS Code: J1955
Short Description: Inj levocarnitine per 1 gm
Long Description: Injection, levocarnitine, per 1 gm

HCPCS Code: J1956
Short Description: Levofloxacin injection
Long Description: Injection, levofloxacin, 250 mg

HCPCS Code: J1960
Short Description: Levorphanol tartrate inj
Long Description: Injection, levorphanol tartrate, up to 2 mg

HCPCS Code: J1980
Short Description: Hyoscyamine sulfate inj
Long Description: Injection, hyoscyamine sulfate, up to 0.25 mg

HCPCS Code: J1990
Short Description: Chlordiazepoxide injection
Long Description: Injection, chlordiazepoxide hcl, up to 100 mg