Showing codes J3304 (Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg) — J3420 (Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg)
J3304 - Inj triamcinolone ace xr 1mg
Long description: Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 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: D (A code denoting Medicare coverage status).
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J3305 - Inj trimetrexate glucoronate
Long description: Injection, trimetrexate glucuronate, per 25 mg
Code added date: 19960101.
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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J3310 - Perphenazine injeciton
Long description: Injection, perphenazine, up to 5 mg
Code added date: 19820101.
Code effective date: 20140101.
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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J3315 - Triptorelin pamoate
Long description: Injection, triptorelin pamoate, 3.75 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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J3316 - Inj., triptorelin xr 3.75 mg
Long description: Injection, triptorelin, extended-release, 3.75 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: D (A code denoting Medicare coverage status).
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J3320 - Spectinomycn di-hcl inj
Long description: Injection, spectinomycin dihydrochloride, up to 2 gm
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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J3350 - Urea injection
Long description: Injection, urea, up to 40 gm
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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J3355 - Urofollitropin, 75 iu
Long description: Injection, urofollitropin, 75 iu
Code added date: 20060101.
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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J3357 - Ustekinumab sub cu inj, 1 mg
Long description: Ustekinumab, for subcutaneous injection, 1 mg
Code added date: 20110101.
Code effective date: 20170101.
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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J3358 - Ustekinumab, iv inject, 1 mg
Long description: Ustekinumab, for intravenous injection, 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: C (A code denoting Medicare coverage status).
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J3360 - Diazepam injection
Long description: Injection, diazepam, up to 5 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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J3364 - Urokinase 5000 iu injection
Long description: Injection, urokinase, 5000 iu vial
Code added date: 19930101.
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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J3365 - Urokinase 250,000 iu inj
Long description: Injection, iv, urokinase, 250,000 i.u. vial
Code added date: 19920101.
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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J3370 - Vancomycin hcl injection
Long description: Injection, vancomycin hcl, 500 mg
Code added date: 19860101.
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).
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J3371 - Inj, vancomycin hcl (mylan)
Long description: Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg
Code added date: 20230101.
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).
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J3372 - Inj, vancomycin hcl (xellia)
Long description: Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg
Code added date: 20230101.
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).
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J3380 - Inj vedolizumab iv 1 mg
Long description: Injection, vedolizumab, intravenous, 1 mg
Code added date: 20160101.
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).
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J3385 - Velaglucerase alfa
Long description: Injection, velaglucerase alfa, 100 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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J3392 - Inj, exagamglogene autotem
Long description: Injection, exagamglogene autotemcel, per treatment
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).
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J3393 - Inj, betibeglogene autotemce
Long description: Injection, betibeglogene autotemcel, per treatment
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: C (A code denoting Medicare coverage status).
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J3394 - Inj, lovotibeglogene autotem
Long description: Injection, lovotibeglogene autotemcel, per treatment
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: C (A code denoting Medicare coverage status).
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PDF
J3396 - Verteporfin injection
Long description: Injection, verteporfin, 0.1 mg
Code added date: 20050101.
Code effective date: 20050101.
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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J3397 - Inj., vestronidase alfa-vjbk
Long description: Injection, vestronidase alfa-vjbk, 1 mg
Code added date: 20190101.
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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J3398 - Inj luxturna 1 billion vec g
Long description: Injection, voretigene neparvovec-rzyl, 1 billion vector genomes
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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J3399 - Inj onase abepar-xioi treat
Long description: Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes
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).
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J3400 - Triflupromazine hcl inj
Long description: Injection, triflupromazine hcl, up to 20 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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J3401 - Vyjuvek 5x10^9pfu/ml, 0.1 ml
Long description: Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10^9 pfu/ml vector genomes, per 0.1 ml
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: C (A code denoting Medicare coverage status).
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J3410 - Hydroxyzine hcl injection
Long description: Injection, hydroxyzine hcl, up to 25 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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J3411 - Thiamine hcl 100 mg
Long description: Injection, thiamine hcl, 100 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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J3415 - Pyridoxine hcl 100 mg
Long description: Injection, pyridoxine hcl, 100 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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PDF
J3420 - Vitamin b12 injection
Long description: Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
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