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J0558
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Procedure Codes
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HCPCS Level II
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Drugs Administered Other than Oral Method
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J0013–J0945
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
Back
J0013
Esketamine, nasal spray, 1 mg
→
J0120
Injection, tetracycline, up to 250 mg
→
J0121
Injection, omadacycline, 1 mg
→
J0122
Injection, eravacycline, 1 mg
→
J0129
Injection, abatacept, 10 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)
→
J0130
Injection abciximab, 10 mg
→
J0131
Injection, acetaminophen, not otherwise specified,10 mg
→
J0132
Injection, acetylcysteine, 100 mg
→
J0133
Injection, acyclovir, 5 mg
→
J0134
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg
→
J0136
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg
→
J0137
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg
→
J0138
Injection, acetaminophen 10 mg and ibuprofen 3 mg
→
J0139
Injection, adalimumab, 1 mg
→
J0153
Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)
→
J0162
Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg
→
J0163
Injection, epinephrine in sodium chloride (endo), 0.1 mg
→
J0164
Injection, epinephrine in sodium chloride (baxter), 0.1 mg
→
J0165
Injection, epinephrine, not otherwise specified, 0.1 mg
→
J0166
Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg
→
J0167
Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg
→
J0168
Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg
→
J0169
Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg
→
J0174
Lecanemab-irmb, for intravenous injection, 1 mg
→
J0175
Injection, donanemab-azbt, 2 mg
→
J0177
Injection, aflibercept hd, 1 mg
→
J0178
Injection, aflibercept, 1 mg
→
J0179
Injection, brolucizumab-dbll, 1 mg
→
J0180
Injection, agalsidase beta, 1 mg
→
J0184
Injection, amisulpride, 1 mg
→
J0185
Injection, aprepitant, 1 mg
→
J0202
Injection, alemtuzumab, 1 mg
→
J0206
Injection, allopurinol sodium, 1 mg
→
J0207
Injection, amifostine, 500 mg
→
J0208
Injection, sodium thiosulfate (pedmark), 100 mg
→
J0209
Injection, sodium thiosulfate (hope), 100 mg
→
J0210
Injection, methyldopate hcl, up to 250 mg
→
J0211
Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote)
→
J0216
Injection, alfentanil hydrochloride, 500 micrograms
→
J0217
Injection, velmanase alfa-tycv, 1 mg
→
J0218
Injection, olipudase alfa-rpcp, 1 mg
→
J0219
Injection, avalglucosidase alfa-ngpt, 4 mg
→
J0220
Injection, alglucosidase alfa, 10 mg, not otherwise specified
→
J0221
Injection, alglucosidase alfa, (lumizyme), 10 mg
→
J0222
Injection, patisiran, 0.1 mg
→
J0223
Injection, givosiran, 0.5 mg
→
J0224
Injection, lumasiran, 0.5 mg
→
J0225
Injection, vutrisiran, 1 mg
→
J0248
Injection, remdesivir, 1 mg
→
J0256
Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg
→
J0257
Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg
→
J0270
Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
→
J0275
Alprostadil urethral suppository (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
→
J0278
Injection, amikacin sulfate, 100 mg
→
J0280
Injection, aminophyllin, up to 250 mg
→
J0281
Injection, aminocaproic acid, 1 gram
→
J0282
Injection, amiodarone hydrochloride, 30 mg
→
J0283
Injection, amiodarone hydrochloride (nexterone), 30 mg
→
J0285
Injection, amphotericin b, 50 mg
→
J0287
Injection, amphotericin b lipid complex, 10 mg
→
J0289
Injection, amphotericin b liposome, 10 mg
→
J0290
Injection, ampicillin sodium, 500 mg
→
J0291
Injection, plazomicin, 5 mg
→
J0295
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm
→
J0300
Injection, amobarbital, up to 125 mg
→
J0330
Injection, succinylcholine chloride, up to 20 mg
→
J0348
Injection, anidulafungin, 1 mg
→
J0349
Injection, rezafungin, 1 mg
→
J0360
Injection, hydralazine hcl, up to 20 mg
→
J0364
Injection, apomorphine hydrochloride, 1 mg
→
J0390
Injection, chloroquine hydrochloride, up to 250 mg
→
J0391
Injection, artesunate, 1 mg
→
J0400
Injection, aripiprazole, intramuscular, 0.25 mg
→
J0401
Injection, aripiprazole (abilify maintena), 1 mg
→
J0402
Injection, aripiprazole (abilify asimtufii), 1 mg
→
J0456
Injection, azithromycin, 500 mg
→
J0457
Injection, aztreonam, 100 mg
→
J0458
Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg)
→
J0461
Injection, atropine sulfate, 0.01 mg
→
J0462
Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg
→
J0463
Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg
→
J0470
Injection, dimercaprol, per 100 mg
→
J0475
Injection, baclofen, 10 mg
→
J0476
Injection, baclofen, 50 mcg for intrathecal trial
→
J0480
Injection, basiliximab, 20 mg
→
J0485
Injection, belatacept, 1 mg
→
J0490
Injection, belimumab, 10 mg
→
J0491
Injection, anifrolumab-fnia, 1 mg
→
J0500
Injection, dicyclomine hcl, up to 20 mg
→
J0515
Injection, benztropine mesylate, per 1 mg
→
J0517
Injection, benralizumab, 1 mg
→
J0520
Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg
→
J0525
Injection, cefotetan disodium, 10 mg
→
J0528
Injection, fosfomycin disodium, 20 mg
→
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
→
J0561
Injection, penicillin g benzathine, 100,000 units
→
J0565
Injection, bezlotoxumab, 10 mg
→
J0567
Injection, cerliponase alfa, 1 mg
→
J0570
Buprenorphine implant, 74.2 mg
→
J0571
Buprenorphine, oral, 1 mg
→
J0572
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine
→
J0573
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine
→
J0574
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine
→
J0575
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine
→
J0577
Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy
→
J0578
Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy
→
J0582
Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg
→
J0583
Injection, bivalirudin, 1 mg
→
J0584
Injection, burosumab-twza 1 mg
→
J0585
Injection, onabotulinumtoxina, 1 unit
→
J0586
Injection, abobotulinumtoxina, 5 units
→
J0587
Injection, rimabotulinumtoxinb, 100 units
→
J0588
Injection, incobotulinumtoxin a, 1 unit
→
J0589
Injection, daxibotulinumtoxina-lanm, 1 unit
→
J0591
Injection, deoxycholic acid, 1 mg
→
J0592
Injection, buprenorphine hydrochloride, 0.1 mg
→
J0593
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)
→
J0594
injection, busulfan, 1 mg
→
J0595
Injection, butorphanol tartrate, 1 mg
→
J0596
Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units
→
J0597
Injection, c-1 esterase inhibitor (human), berinert, 10 units
→
J0598
Injection, c-1 esterase inhibitor (human), cinryze, 10 units
→
J0599
Injection, c-1 esterase inhibitor (human), (haegarda), 10 units
→
J0600
Injection, edetate calcium disodium, up to 1000 mg
→
J0601
Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)
→
J0602
Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis)
→
J0603
Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)
→
J0604
Cinacalcet, oral, 1 mg, (for esrd on dialysis)
→
J0605
Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis)
→
J0606
Injection, etelcalcetide, 0.1 mg
→
J0607
Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)
→
J0608
Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis)
→
J0609
Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis)
→
J0612
Injection, calcium gluconate, not otherwise specified, 10 mg
→
J0613
Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg
→
J0614
Injection, treosulfan, 50 mg
→
J0615
Calcium acetate, oral, 23 mg (for esrd on dialysis)
→
J0616
Injection, metoprolol tartrate, 1 mg
→
J0618
Injection, calcium chloride, 2 mg
→
J0620
Injection, calcium glycerophosphate and calcium lactate, per 10 ml
→
J0630
Injection, calcitonin salmon, up to 400 units
→
J0636
Injection, calcitriol, 0.1 mcg
→
J0637
Injection, caspofungin acetate, 5 mg
→
J0638
Injection, canakinumab, 1 mg
→
J0641
Injection, levoleucovorin, not otherwise specified, 0.5 mg
→
J0642
Injection, levoleucovorin (khapzory), 0.5 mg
→
J0643
Injection, leucovorin calcium, not otherwise specified, 1 mg
→
J0644
Injection, leucovorin calcium (avyxa), 1 mg
→
J0650
Injection, levothyroxine sodium, not otherwise specified, 10 mcg
→
J0651
Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg
→
J0652
Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg
→
J0654
Injection, liothyronine, 1 mcg
→
J0665
Injection, bupivicaine, not otherwise specified, 0.5 mg
→
J0666
Injection, bupivacaine liposome, 1 mg
→
J0668
Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg
→
J0670
Injection, mepivacaine hydrochloride, per 10 ml
→
J0675
Injection, carboprost tromethamine, 0.1 mg
→
J0681
Injection, ceftobiprole medocaril sodium, 3 mg
→
J0687
Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg
→
J0688
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg
→
J0689
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg
→
J0690
Injection, cefazolin sodium, 500 mg
→
J0691
Injection, lefamulin, 1 mg
→
J0692
Injection, cefepime hydrochloride, 500 mg
→
J0694
Injection, cefoxitin sodium, 1 gm
→
J0695
Injection, ceftolozane 50 mg and tazobactam 25 mg
→
J0696
Injection, ceftriaxone sodium, per 250 mg
→
J0697
Injection, sterile cefuroxime sodium, per 750 mg
→
J0698
Injection, cefotaxime sodium, per gm
→
J0699
Injection, cefiderocol, 10 mg
→
J0701
Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg
→
J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
→
J0703
Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg
→
J0706
Injection, caffeine citrate, 5 mg
→
J0712
Injection, ceftaroline fosamil, 10 mg
→
J0713
Injection, ceftazidime, per 500 mg
→
J0714
Injection, ceftazidime and avibactam, 0.5 g/0.125 g
→
J0716
Injection, centruroides immune f(ab)2, up to 120 milligrams
→
J0717
Injection, certolizumab pegol, 1 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)
→
J0720
Injection, chloramphenicol sodium succinate, up to 1 gm
→
J0725
Injection, chorionic gonadotropin, per 1,000 usp units
→
J0735
Injection, clonidine hydrochloride, 1 mg
→
J0736
Injection, clindamycin phosphate, 300 mg
→
J0737
Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg
→
J0738
Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)
→
J0739
Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)
→
J0740
Injection, cidofovir, 375 mg
→
J0741
Injection, cabotegravir and rilpivirine, 2mg/3mg
→
J0742
Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg
→
J0743
Injection, cilastatin sodium; imipenem, per 250 mg
→
J0744
Injection, ciprofloxacin for intravenous infusion, 200 mg
→
J0745
Injection, codeine phosphate, per 30 mg
→
J0750
Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)
→
J0751
Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)
→
J0752
Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)
→
J0759
Injection, clevidipine butyrate, 1 mg
→
J0770
Injection, colistimethate sodium, up to 150 mg
→
J0775
Injection, collagenase, clostridium histolyticum, 0.01 mg
→
J0780
Injection, prochlorperazine, up to 10 mg
→
J0791
Injection, crizanlizumab-tmca, 5 mg
→
J0799
Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified
→
J0801
Injection, corticotropin (acthar gel), up to 40 units
→
J0802
Injection, corticotropin (ani), up to 40 units
→
J0834
Injection, cosyntropin, 0.25 mg
→
J0840
Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram
→
J0841
Injection, crotalidae immune f(ab')2 (equine), 120 mg
→
J0850
Injection, cytomegalovirus immune globulin intravenous (human), per vial
→
J0870
Injection, imetelstat, 1 mg
→
J0871
Injection, daptomycin (endo), not therapeutically equivalent to j0878, 1 mg
→
J0872
Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg
→
J0873
Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg
→
J0874
Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg
→
J0875
Injection, dalbavancin, 5 mg
→
J0877
Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg
→
J0878
Injection, daptomycin, 1 mg
→
J0879
Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)
→
J0881
Injection, darbepoetin alfa, 1 microgram (non-esrd use)
→
J0882
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)
→
J0883
Injection, argatroban, 1 mg (for non-esrd use)
→
J0884
Injection, argatroban, 1 mg (for esrd on dialysis)
→
J0885
Injection, epoetin alfa, (for non-esrd use), 1000 units
→
J0887
Injection, epoetin beta, 1 microgram, (for esrd on dialysis)
→
J0888
Injection, epoetin beta, 1 microgram, (for non esrd use)
→
J0890
Injection, peginesatide, 0.1 mg (for esrd on dialysis)
→
J0891
Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)
→
J0892
Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)
→
J0893
Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg
→
J0894
Injection, decitabine, 1 mg
→
J0895
Injection, deferoxamine mesylate, 500 mg
→
J0896
Injection, luspatercept-aamt, 0.25 mg
→
J0897
Injection, denosumab, 1 mg
→
J0898
Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)
→
J0899
Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)
→
J0901
Vadadustat, oral, 1 mg (for esrd on dialysis)
→
J0911
Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)
→
J0945
Injection, brompheniramine maleate, per 10 mg
→
Procedure code
CODABLE
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
Part
HCPCS Level II
J
Drugs Administered Other than Oral Method
J0
J0013–J0945
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.
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