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

HCPCS Code	Short Description	Long Description
J1	Cap no-pay for prescript num	Competitive acquisition program no-pay submission for a prescription number
J1000	Depo-estradiol cypionate inj	Injection, depo-estradiol cypionate, up to 5 mg
J1010	Inj, methylpred acetate 1 mg	Injection, methylprednisolone acetate, 1 mg
J1020	Methylprednisolone 20 mg inj	Injection, methylprednisolone acetate, 20 mg
J1030	Methylprednisolone 40 mg inj	Injection, methylprednisolone acetate, 40 mg
J1040	Methylprednisolone 80 mg inj	Injection, methylprednisolone acetate, 80 mg
J1050	Medroxyprogesterone acetate	Injection, medroxyprogesterone acetate, 1 mg
J1060	Testosterone cypionate 1 ml	Injection, testosterone cypionate and estradiol cypionate, up to 1 ml
J1070	Testosterone cypionat 100 mg	Injection, testosterone cypionate, up to 100 mg
J1071	Inj testosterone cypionate	Injection, testosterone cypionate, 1 mg
J1080	Testosterone cypionat 200 mg	Injection, testosterone cypionate, 1 cc, 200 mg
J1094	Inj dexamethasone acetate	Injection, dexamethasone acetate, 1 mg
J1095	Injection, dexamethasone 9%	Injection, dexamethasone 9 percent, intraocular, 1 microgram
J1096	Dexametha opth insert 0.1 mg	Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
J1097	Phenylep ketorolac opth soln	Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
J1100	Dexamethasone sodium phos	Injection, dexamethasone sodium phosphate, 1 mg
J1105	Dexmedetomidine film, 1 mcg	Dexmedetomidine, oral, 1 mcg
J1110	Inj dihydroergotamine mesylt	Injection, dihydroergotamine mesylate, per 1 mg
J1120	Acetazolamid sodium injectio	Injection, acetazolamide sodium, up to 500 mg
J1130	Inj diclofenac sodium 0.5mg	Injection, diclofenac sodium, 0.5 mg
J1160	Digoxin injection	Injection, digoxin, up to 0.5 mg
J1162	Digoxin immune fab (ovine)	Injection, digoxin immune fab (ovine), per vial
J1165	Phenytoin sodium injection	Injection, phenytoin sodium, per 50 mg
J1170	Hydromorphone injection	Injection, hydromorphone, up to 4 mg
J1180	Dyphylline injection	Injection, dyphylline, up to 500 mg
J1190	Dexrazoxane hcl injection	Injection, dexrazoxane hydrochloride, per 250 mg
J1200	Diphenhydramine hcl injectio	Injection, diphenhydramine hcl, up to 50 mg
J1201	Inj. cetirizine hcl 0.5mg	Injection, cetirizine hydrochloride, 0.5 mg
J1202	Miglustat oral 65 mg	Miglustat, oral, 65 mg
J1203	Inj, cipaglucosidase, 5 mg	Injection, cipaglucosidase alfa-atga, 5 mg
J1205	Chlorothiazide sodium inj	Injection, chlorothiazide sodium, per 500 mg
J1212	Dimethyl sulfoxide 50% 50 ml	Injection, dmso, dimethyl sulfoxide, 50%, 50 ml
J1230	Methadone injection	Injection, methadone hcl, up to 10 mg
J1240	Dimenhydrinate injection	Injection, dimenhydrinate, up to 50 mg
J1245	Dipyridamole injection	Injection, dipyridamole, per 10 mg
J1250	Inj dobutamine hcl/250 mg	Injection, dobutamine hydrochloride, per 250 mg
J1260	Dolasetron mesylate	Injection, dolasetron mesylate, 10 mg
J1265	Dopamine injection	Injection, dopamine hcl, 40 mg
J1267	Doripenem injection	Injection, doripenem, 10 mg
J1270	Injection, doxercalciferol	Injection, doxercalciferol, 1 mcg
J1290	Ecallantide injection	Injection, ecallantide, 1 mg
J1300	Eculizumab injection	Injection, eculizumab, 10 mg
J1301	Injection, edaravone, 1 mg	Injection, edaravone, 1 mg
J1302	Inj, sutimlimab-jome, 10 mg	Injection, sutimlimab-jome, 10 mg
J1303	Inj., ravulizumab-cwvz 10 mg	Injection, ravulizumab-cwvz, 10 mg
J1304	Inj tofersen intrathec 1 mg	Injection, tofersen, 1 mg
J1305	Inj, evinacumab-dgnb, 5mg	Injection, evinacumab-dgnb, 5mg
J1306	Injection, inclisiran, 1 mg	Injection, inclisiran, 1 mg
J1320	Amitriptyline injection	Injection, amitriptyline hcl, up to 20 mg
J1322	Elosulfase alfa, injection	Injection, elosulfase alfa, 1 mg
J1323	Inj, elranatamab-bcmm, 1 mg	Injection, elranatamab-bcmm, 1 mg
J1324	Enfuvirtide injection	Injection, enfuvirtide, 1 mg
J1325	Epoprostenol injection	Injection, epoprostenol, 0.5 mg
J1327	Eptifibatide injection	Injection, eptifibatide, 5 mg
J1330	Ergonovine maleate injection	Injection, ergonovine maleate, up to 0.2 mg
J1335	Ertapenem injection	Injection, ertapenem sodium, 500 mg
J1364	Erythro lactobionate /500 mg	Injection, erythromycin lactobionate, per 500 mg
J1380	Estradiol valerate 10 mg inj	Injection, estradiol valerate, up to 10 mg
J1410	Inj estrogen conjugate 25 mg	Injection, estrogen conjugated, per 25 mg
J1411	Inj, hemgenix, per tx dose	Injection, etranacogene dezaparvovec-drlb, per therapeutic dose
J1412	Inj roctavian ml 2x10^13vc g	Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes
J1413	Inj delandistrogene mox rokl	Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose
J1426	Injection, casimersen, 10 mg	Injection, casimersen, 10 mg
J1427	Inj. viltolarsen	Injection, viltolarsen, 10 mg
J1428	Inj, eteplirsen, 10 mg	Injection, eteplirsen, 10 mg
J1429	Inj golodirsen 10 mg	Injection, golodirsen, 10 mg
J1430	Ethanolamine oleate 100 mg	Injection, ethanolamine oleate, 100 mg
J1434	Inj, focinvez, 1mg	Injection, fosaprepitant (focinvez), 1 mg
J1435	Injection estrone per 1 mg	Injection, estrone, per 1 mg
J1436	Etidronate disodium inj	Injection, etidronate disodium, per 300 mg
J1437	Inj. fe derisomaltose 10 mg	Injection, ferric derisomaltose, 10 mg
J1438	Etanercept injection	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)
J1439	Inj ferric carboxymaltos 1mg	Injection, ferric carboxymaltose, 1 mg
J1440	Fecal microbiota jslm 1 ml	Fecal microbiota, live - jslm, 1 ml
J1442	Inj filgrastim excl biosimil	Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram
J1443	Inj ferric pyrophosphate cit	Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron
J1444	Fe pyro cit pow 0.1 mg iron	Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron
J1445	Inj triferic avnu 0.1mg iron	Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron
J1446	Inj, tbo-filgrastim, 5 mcg	Injection, tbo-filgrastim, 5 micrograms
J1447	Inj tbo filgrastim 1 microg	Injection, tbo-filgrastim, 1 microgram
J1448	Injection, trilaciclib, 1mg	Injection, trilaciclib, 1mg
J1449	Inj eflapegrastim-xnst 0.1mg	Injection, eflapegrastim-xnst, 0.1 mg
J1450	Fluconazole	Injection fluconazole, 200 mg
J1451	Fomepizole, 15 mg	Injection, fomepizole, 15 mg
J1452	Intraocular fomivirsen na	Injection, fomivirsen sodium, intraocular, 1.65 mg
J1453	Fosaprepitant injection	Injection, fosaprepitant, 1 mg
J1454	Inj fosnetupitant, palonoset	Injection, fosnetupitant 235 mg and palonosetron 0.25 mg
J1455	Foscarnet sodium injection	Injection, foscarnet sodium, per 1000 mg
J1456	Inj, fosaprepitant (teva)	Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg
J1457	Gallium nitrate injection	Injection, gallium nitrate, 1 mg
J1458	Galsulfase injection	Injection, galsulfase, 1 mg
J1459	Inj ivig privigen 500 mg	Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg
J1460	Gamma globulin 1 cc inj	Injection, gamma globulin, intramuscular, 1 cc
J1551	Inj cutaquig 100 mg	Injection, immune globulin (cutaquig), 100 mg
J1554	Inj. asceniv	Injection, immune globulin (asceniv), 500 mg
J1555	Inj cuvitru, 100 mg	Injection, immune globulin (cuvitru), 100 mg
J1556	Inj, imm glob bivigam, 500mg	Injection, immune globulin (bivigam), 500 mg
J1557	Gammaplex injection	Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg
J1558	Inj. xembify, 100 mg	Injection, immune globulin (xembify), 100 mg
J1559	Hizentra injection	Injection, immune globulin (hizentra), 100 mg
J1560	Gamma globulin > 10 cc inj	Injection, gamma globulin, intramuscular, over 10 cc
J1561	Gamunex-c/gammaked	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg
J1562	Vivaglobin, inj	Injection, immune globulin (vivaglobin), 100 mg
J1566	Immune globulin, powder	Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg
J1568	Octagam injection	Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg
J1569	Gammagard liquid injection	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg
J1570	Ganciclovir sodium injection	Injection, ganciclovir sodium, 500 mg
J1571	Hepagam b im injection	Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml
J1572	Flebogamma injection	Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg
J1573	Hepagam b intravenous, inj	Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml
J1574	Inj, ganciclovir (exela)	Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg
J1575	Hyqvia 100mg immuneglobulin	Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin
J1576	Inj, panzyga, 500 mg	Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg
J1580	Garamycin gentamicin inj	Injection, garamycin, gentamicin, up to 80 mg
J1590	Gatifloxacin injection	Injection, gatifloxacin, 10 mg
J1595	Injection glatiramer acetate	Injection, glatiramer acetate, 20 mg
J1596	Inj, glycopyrrolate, 0.1 mg	Injection, glycopyrrolate, 0.1 mg
J1597	Inj glycopyrrolate, glyrx-pf	Injection, glycopyrrolate (glyrx-pf), 0.1 mg
J1598	Inj glycopyrrolate fres kabi	Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg
J1599	Ivig non-lyophilized, nos	Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg
J1600	Gold sodium thiomaleate inj	Injection, gold sodium thiomalate, up to 50 mg
J1602	Golimumab for iv use 1mg	Injection, golimumab, 1 mg, for intravenous use
J1610	Glucagon hydrochloride/1 mg	Injection, glucagon hydrochloride, per 1 mg
J1611	Inj glucagon hcl, fresenius	Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg
J1620	Gonadorelin hydroch/ 100 mcg	Injection, gonadorelin hydrochloride, per 100 mcg
J1626	Granisetron hcl injection	Injection, granisetron hydrochloride, 100 mcg
J1627	Inj, granisetron, xr, 0.1 mg	Injection, granisetron, extended-release, 0.1 mg
J1628	Inj., guselkumab, 1 mg	Injection, guselkumab, 1 mg
J1630	Haloperidol injection	Injection, haloperidol, up to 5 mg
J1631	Haloperidol decanoate inj	Injection, haloperidol decanoate, per 50 mg
J1632	Inj., brexanolone, 1 mg	Injection, brexanolone, 1 mg
J1640	Hemin, 1 mg	Injection, hemin, 1 mg
J1642	Inj heparin sodium per 10 u	Injection, heparin sodium, (heparin lock flush), per 10 units
J1643	Inj heparin, pfizer, 1000u	Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units
J1644	Inj heparin sodium per 1000u	Injection, heparin sodium, per 1000 units
J1645	Dalteparin sodium	Injection, dalteparin sodium, per 2500 iu
J1650	Inj enoxaparin sodium	Injection, enoxaparin sodium, 10 mg
J1652	Fondaparinux sodium	Injection, fondaparinux sodium, 0.5 mg
J1655	Tinzaparin sodium injection	Injection, tinzaparin sodium, 1000 iu
J1670	Tetanus immune globulin inj	Injection, tetanus immune globulin, human, up to 250 units
J1675	Histrelin acetate	Injection, histrelin acetate, 10 micrograms
J1700	Hydrocortisone acetate inj	Injection, hydrocortisone acetate, up to 25 mg
J1710	Hydrocortisone sodium ph inj	Injection, hydrocortisone sodium phosphate, up to 50 mg
J1720	Hydrocortisone sodium succ i	Injection, hydrocortisone sodium succinate, up to 100 mg
J1725	Hydroxyprogesterone caproate	Injection, hydroxyprogesterone caproate, 1 mg
J1726	Makena, 10 mg	Injection, hydroxyprogesterone caproate, (makena), 10 mg
J1729	Inj hydroxyprogst capoat nos	Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg
J1730	Diazoxide injection	Injection, diazoxide, up to 300 mg
J1738	Inj. meloxicam 1 mg	Injection, meloxicam, 1 mg
J1740	Ibandronate sodium injection	Injection, ibandronate sodium, 1 mg
J1741	Ibuprofen injection	Injection, ibuprofen, 100 mg
J1742	Ibutilide fumarate injection	Injection, ibutilide fumarate, 1 mg
J1743	Idursulfase injection	Injection, idursulfase, 1 mg
J1744	Icatibant injection	Injection, icatibant, 1 mg
J1745	Infliximab not biosimil 10mg	Injection, infliximab, excludes biosimilar, 10 mg
J1746	Inj., ibalizumab-uiyk, 10 mg	Injection, ibalizumab-uiyk, 10 mg
J1747	Inj, spesolimab-sbzo, 1 mg	Injection, spesolimab-sbzo, 1 mg
J1748	Inj, zymfentra, 10 mg	Injection, infliximab-dyyb (zymfentra), 10 mg
J1750	Inj iron dextran	Injection, iron dextran, 50 mg
J1756	Iron sucrose injection	Injection, iron sucrose, 1 mg
J1786	Imuglucerase injection	Injection, imiglucerase, 10 units
J1790	Droperidol injection	Injection, droperidol, up to 5 mg
J1800	Propranolol injection	Injection, propranolol hcl, up to 1 mg
J1805	Inj, esmolol hcl, 10mg	Injection, esmolol hydrochloride, 10 mg
J1806	Inj esmolol hcl wg crit care	Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg
J1810	Droperidol/fentanyl inj	Injection, droperidol and fentanyl citrate, up to 2 ml ampule
J1811	Fiasp for insulin pump use	Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units
J1812	Inj. insulin (fiasp)	Insulin (fiasp), per 5 units
J1813	Lyumjev for insulin pump use	Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units
J1814	Inj. insulin (lyumjev)	Insulin (lyumjev), per 5 units
J1815	Insulin injection	Injection, insulin, per 5 units
J1817	Insulin for insulin pump use	Insulin for administration through dme (i.e., insulin pump) per 50 units
J1823	Inj. inebilizumab-cdon, 1 mg	Injection, inebilizumab-cdon, 1 mg
J1826	Interferon beta-1a inj	Injection, interferon beta-1a, 30 mcg
J1830	Interferon beta-1b / .25 mg	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)
J1833	Injection, isavuconazonium	Injection, isavuconazonium, 1 mg
J1835	Itraconazole injection	Injection, itraconazole, 50 mg
J1836	Inj, metronidazole, 10 mg	Injection, metronidazole, 10 mg
J1840	Kanamycin sulfate 500 mg inj	Injection, kanamycin sulfate, up to 500 mg
J1850	Kanamycin sulfate 75 mg inj	Injection, kanamycin sulfate, up to 75 mg
J1885	Ketorolac tromethamine inj	Injection, ketorolac tromethamine, per 15 mg
J1890	Cephalothin sodium injection	Injection, cephalothin sodium, up to 1 gram
J1920	Inj, labetalol hcl, 5mg	Injection, labetalol hydrochloride, 5 mg
J1921	Inj labetalol hcl hikma, 5mg	Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg
J1930	Lanreotide injection	Injection, lanreotide, 1 mg
J1931	Laronidase injection	Injection, laronidase, 0.1 mg
J1932	Inj, lanreotide, (cipla) 1mg	Injection, lanreotide, (cipla), 1 mg
J1939	Inj, bumetanide, 0.5 mg	Injection, bumetanide, 0.5 mg
J1940	Furosemide injection	Injection, furosemide, up to 20 mg
J1941	Inj, furoscix, 20 mg	Injection, furosemide (furoscix), 20 mg
J1942	Aripiprazole lauroxil 1mg	Injection, aripiprazole lauroxil, 1 mg
J1943	Inj., aristada initio, 1 mg	Injection, aripiprazole lauroxil, (aristada initio), 1 mg
J1944	Aripiprazole lauroxil 1 mg	Injection, aripiprazole lauroxil, (aristada), 1 mg
J1945	Lepirudin	Injection, lepirudin, 50 mg
J1950	Leuprolide acetate /3.75 mg	Injection, leuprolide acetate (for depot suspension), per 3.75 mg
J1951	Inj fensolvi 0.25 mg	Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg
J1952	Leuprolide inj, camcevi, 1mg	Leuprolide injectable, camcevi, 1 mg
J1953	Levetiracetam injection	Injection, levetiracetam, 10 mg
J1954	Leuprolide depot cipla 7.5mg	Injection, leuprolide acetate for depot suspension (cipla), 7.5 mg
J1955	Inj levocarnitine per 1 gm	Injection, levocarnitine, per 1 gm
J1956	Levofloxacin injection	Injection, levofloxacin, 250 mg
J1960	Levorphanol tartrate inj	Injection, levorphanol tartrate, up to 2 mg
J1961	Inj, lenacapavir, 1 mg	Injection, lenacapavir, 1 mg
J1980	Hyoscyamine sulfate inj	Injection, hyoscyamine sulfate, up to 0.25 mg
J1990	Chlordiazepoxide injection	Injection, chlordiazepoxide hcl, up to 100 mg