Showing codes J0612 (Injection, calcium gluconate, not otherwise specified, 10 mg) — J0701 (Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg)
J0612 - Inj, calcium gluconate, nos
Long description: Injection, calcium gluconate, not otherwise specified, 10 mg
Code added date: 20230401.
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: D (A code denoting Medicare coverage status).
HTML
PDF
J0613 - Calcium glucon (wg critical)
Long description: Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg
Code added date: 20230401.
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: D (A code denoting Medicare coverage status).
HTML
PDF
J0615 - Calcium acetate, oral, 23 mg
Long description: Calcium acetate, oral, 23 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).
HTML
PDF
J0620 - Calcium glycer & lact/10 ml
Long description: Injection, calcium glycerophosphate and calcium lactate, per 10 ml
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).
HTML
PDF
J0630 - Calcitonin salmon injection
Long description: Injection, calcitonin salmon, up to 400 units
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).
HTML
PDF
J0636 - Inj calcitriol per 0.1 mcg
Long description: Injection, calcitriol, 0.1 mcg
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).
HTML
PDF
J0637 - Caspofungin acetate
Long description: Injection, caspofungin acetate, 5 mg
Code added date: 20030101.
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).
HTML
PDF
J0638 - Canakinumab injection
Long description: Injection, canakinumab, 1 mg
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).
HTML
PDF
J0640 - Leucovorin calcium injection
Long description: Injection, leucovorin calcium, per 50 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).
HTML
PDF
J0641 - Inj levoleucovorin nos 0.5mg
Long description: Injection, levoleucovorin, not otherwise specified, 0.5 mg
Code added date: 20090101.
Code effective date: 20230101.
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).
HTML
PDF
J0642 - Injection, khapzory, 0.5 mg
Long description: Injection, levoleucovorin (khapzory), 0.5 mg
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).
HTML
PDF
J0650 - Inj, levothyroxine nos 10mcg
Long description: Injection, levothyroxine sodium, not otherwise specified, 10 mcg
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).
HTML
PDF
J0651 - Inj, levothyroxine, freskabi
Long description: Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg
Code added date: 20240401.
Code effective date: 20240701.
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).
HTML
PDF
J0652 - Inj, levothyroxine, hikma
Long description: Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg
Code added date: 20240401.
Code effective date: 20240701.
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).
HTML
PDF
J0665 - Inj, bupivacaine, nos, 0.5mg
Long description: Injection, bupivicaine, not otherwise specified, 0.5 mg
Code added date: 20230701.
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).
HTML
PDF
J0666 - Inj, bupivacaine liposome
Long description: Injection, bupivacaine liposome, 1 mg
Code added date: 20250101.
Code effective date: 20250101.
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).
HTML
PDF
J0670 - Inj mepivacaine hcl/10 ml
Long description: Injection, mepivacaine hydrochloride, per 10 ml
Code added date: 19860101.
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).
HTML
PDF
J0687 - Inj cefazolin (wg crit care)
Long description: Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg
Code added date: 20240701.
Code effective date: 20240701.
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).
HTML
PDF
J0688 - Inj cefazolin sodium, hikma
Long description: Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg
Code added date: 20240101.
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: D (A code denoting Medicare coverage status).
HTML
PDF
J0689 - Inj cefazolin sodium, baxter
Long description: Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg
Code added date: 20230101.
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: D (A code denoting Medicare coverage status).
HTML
PDF
J0690 - Cefazolin sodium injection
Long description: Injection, cefazolin sodium, 500 mg
Code added date: 19820101.
Code effective date: 20000101.
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).
HTML
PDF
J0691 - Inj lefamulin 1 mg
Long description: Injection, lefamulin, 1 mg
Code added date: 20200701.
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).
HTML
PDF
J0692 - Cefepime hcl for injection
Long description: Injection, cefepime hydrochloride, 500 mg
Code added date: 20020101.
Code effective date: 20020101.
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).
HTML
PDF
J0693 - Inj., cefiderocol, 5 mg
Long description: Injection, cefiderocol, 5 mg
Code added date: 20210101.
Code effective date: 20211001.
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).
HTML
PDF
J0694 - Cefoxitin sodium injection
Long description: Injection, cefoxitin sodium, 1 gm
Code added date: 19920101.
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).
HTML
PDF
J0695 - Inj ceftolozane tazobactam
Long description: Injection, ceftolozane 50 mg and tazobactam 25 mg
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).
HTML
PDF
J0696 - Ceftriaxone sodium injection
Long description: Injection, ceftriaxone sodium, per 250 mg
Code added date: 19900101.
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).
HTML
PDF
J0697 - Sterile cefuroxime injection
Long description: Injection, sterile cefuroxime sodium, per 750 mg
Code added date: 19900101.
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).
HTML
PDF
J0698 - Cefotaxime sodium injection
Long description: Injection, cefotaxime sodium, per gm
Code added date: 19910101.
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).
HTML
PDF
J0699 - Inj, cefiderocol, 10 mg
Long description: Injection, cefiderocol, 10 mg
Code added date: 20211001.
Code effective date: 20211001.
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).
HTML
PDF
J0701 - Inj. cefepime hcl (baxter)
Long description: Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg
Code added date: 20230101.
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).
HTML
PDF