Showing codes J0576 (Injection, buprenorphine extended-release (brixadi), 1 mg) — J0611 (Injection, calcium gluconate (wg critical care), per 10 ml)
J0576 - Inj buprenorph (brixadi) 1mg
Long description: Injection, buprenorphine extended-release (brixadi), 1 mg
Code added date: 20240101.
Code effective date: 20240401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0577 - Inj, brixadi, 7 days or less
Long description: Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy
Code added date: 20240401.
Code effective date: 20240401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0578 - Inj brixadi, more than 7 day
Long description: Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy
Code added date: 20240401.
Code effective date: 20240401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0583 - Bivalirudin
Long description: Injection, bivalirudin, 1 mg
Code added date: 20040101.
Code effective date: 20180101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0584 - Injection, burosumab-twza 1m
Long description: Injection, burosumab-twza 1 mg
Code added date: 20190101.
Code effective date: 20190101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0585 - Injection,onabotulinumtoxina
Long description: Injection, onabotulinumtoxina, 1 unit
Code added date: 19910101.
Code effective date: 20100101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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J0586 - Abobotulinumtoxina
Long description: Injection, abobotulinumtoxina, 5 units
Code added date: 20100101.
Code effective date: 20100101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0587 - Inj, rimabotulinumtoxinb
Long description: Injection, rimabotulinumtoxinb, 100 units
Code added date: 20020101.
Code effective date: 20100101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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J0588 - Incobotulinumtoxin a
Long description: Injection, incobotulinumtoxin a, 1 unit
Code added date: 20120101.
Code effective date: 20120101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0589 - Inj daxibotulinumtoxina-lanm
Long description: Injection, daxibotulinumtoxina-lanm, 1 unit
Code added date: 20240401.
Code effective date: 20240401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0591 - Inj deoxycholic acid, 1 mg
Long description: Injection, deoxycholic acid, 1 mg
Code added date: 20200701.
Code effective date: 20200701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0592 - Buprenorphine hydrochloride
Long description: Injection, buprenorphine hydrochloride, 0.1 mg
Code added date: 20030101.
Code effective date: 20030101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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J0593 - Inj., lanadelumab-flyo, 1 mg
Long description: 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)
Code added date: 20191001.
Code effective date: 20240101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0594 - Busulfan injection
Long description: injection, busulfan, 1 mg
Code added date: 20070101.
Code effective date: 20070101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0595 - Butorphanol tartrate 1 mg
Long description: Injection, butorphanol tartrate, 1 mg
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0596 - Injection, ruconest
Long description: Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units
Code added date: 20160101.
Code effective date: 20160101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0597 - C-1 esterase, berinert
Long description: Injection, c-1 esterase inhibitor (human), berinert, 10 units
Code added date: 20110101.
Code effective date: 20110101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0598 - C-1 esterase, cinryze
Long description: Injection, c-1 esterase inhibitor (human), cinryze, 10 units
Code added date: 20100101.
Code effective date: 20110101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0599 - Inj., haegarda 10 units
Long description: Injection, c-1 esterase inhibitor (human), (haegarda), 10 units
Code added date: 20190101.
Code effective date: 20220101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0600 - Edetate calcium disodium inj
Long description: Injection, edetate calcium disodium, up to 1000 mg
Code added date: 19820101.
Code effective date: 19970101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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J0601 - Sevelamer carbonate 20 mg
Long description: Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s):
57
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0602 - Sevelamer carbonate pdr 20mg
Long description: Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis)
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s):
57
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0603 - Sevelamer hydrochloride 20mg
Long description: Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s):
57
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0604 - Cinacalcet, esrd on dialysis
Long description: Cinacalcet, oral, 1 mg, (for esrd on dialysis)
Code added date: 20180101.
Code effective date: 20180101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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J0605 - Sucroferric oxyhydroxide 5mg
Long description: Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis)
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s):
57
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0606 - Inj, etelcalcetide, 0.1 mg
Long description: Injection, etelcalcetide, 0.1 mg
Code added date: 20180101.
Code effective date: 20180101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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J0607 - Lanthanum carbonate oral 5mg
Long description: Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s):
57
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0608 - Lanthanum carbonate pwdr 5mg
Long description: Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis)
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s):
57
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0609 - Ferric citrate orl 3 mg iron
Long description: Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis)
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s):
57
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J0610 - Calcium glucon (fresenius)
Long description: Injection, calcium gluconate (fresenius kabi), per 10 ml
Code added date: 19820101.
Code effective date: 20230401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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J0611 - Calcium glucon (wg critical)
Long description: Injection, calcium gluconate (wg critical care), per 10 ml
Code added date: 20230101.
Code effective date: 20230401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF