J0799 Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified

BackJ0013Esketamine, nasal spray, 1 mgJ0120Injection, tetracycline, up to 250 mgJ0121Injection, omadacycline, 1 mgJ0122Injection, eravacycline, 1 mgJ0129Injection, 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)J0130Injection abciximab, 10 mgJ0131Injection, acetaminophen, not otherwise specified,10 mgJ0132Injection, acetylcysteine, 100 mgJ0133Injection, acyclovir, 5 mgJ0134Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mgJ0136Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mgJ0137Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mgJ0138Injection, acetaminophen 10 mg and ibuprofen 3 mgJ0139Injection, adalimumab, 1 mgJ0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)J0162Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mgJ0163Injection, epinephrine in sodium chloride (endo), 0.1 mgJ0164Injection, epinephrine in sodium chloride (baxter), 0.1 mgJ0165Injection, epinephrine, not otherwise specified, 0.1 mgJ0166Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mgJ0167Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mgJ0168Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mgJ0169Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mgJ0174Lecanemab-irmb, for intravenous injection, 1 mgJ0175Injection, donanemab-azbt, 2 mgJ0177Injection, aflibercept hd, 1 mgJ0178Injection, aflibercept, 1 mgJ0179Injection, brolucizumab-dbll, 1 mgJ0180Injection, agalsidase beta, 1 mgJ0184Injection, amisulpride, 1 mgJ0185Injection, aprepitant, 1 mgJ0202Injection, alemtuzumab, 1 mgJ0206Injection, allopurinol sodium, 1 mgJ0207Injection, amifostine, 500 mgJ0208Injection, sodium thiosulfate (pedmark), 100 mgJ0209Injection, sodium thiosulfate (hope), 100 mgJ0210Injection, methyldopate hcl, up to 250 mgJ0211Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote)J0216Injection, alfentanil hydrochloride, 500 microgramsJ0217Injection, velmanase alfa-tycv, 1 mgJ0218Injection, olipudase alfa-rpcp, 1 mgJ0219Injection, avalglucosidase alfa-ngpt, 4 mgJ0220Injection, alglucosidase alfa, 10 mg, not otherwise specifiedJ0221Injection, alglucosidase alfa, (lumizyme), 10 mgJ0222Injection, patisiran, 0.1 mgJ0223Injection, givosiran, 0.5 mgJ0224Injection, lumasiran, 0.5 mgJ0225Injection, vutrisiran, 1 mgJ0248Injection, remdesivir, 1 mgJ0256Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mgJ0257Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mgJ0270Injection, 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)J0275Alprostadil 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)J0278Injection, amikacin sulfate, 100 mgJ0280Injection, aminophyllin, up to 250 mgJ0281Injection, aminocaproic acid, 1 gramJ0282Injection, amiodarone hydrochloride, 30 mgJ0283Injection, amiodarone hydrochloride (nexterone), 30 mgJ0285Injection, amphotericin b, 50 mgJ0287Injection, amphotericin b lipid complex, 10 mgJ0289Injection, amphotericin b liposome, 10 mgJ0290Injection, ampicillin sodium, 500 mgJ0291Injection, plazomicin, 5 mgJ0295Injection, ampicillin sodium/sulbactam sodium, per 1.5 gmJ0300Injection, amobarbital, up to 125 mgJ0330Injection, succinylcholine chloride, up to 20 mgJ0348Injection, anidulafungin, 1 mgJ0349Injection, rezafungin, 1 mgJ0360Injection, hydralazine hcl, up to 20 mgJ0364Injection, apomorphine hydrochloride, 1 mgJ0390Injection, chloroquine hydrochloride, up to 250 mgJ0391Injection, artesunate, 1 mgJ0400Injection, aripiprazole, intramuscular, 0.25 mgJ0401Injection, aripiprazole (abilify maintena), 1 mgJ0402Injection, aripiprazole (abilify asimtufii), 1 mgJ0456Injection, azithromycin, 500 mgJ0457Injection, aztreonam, 100 mgJ0458Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg)J0461Injection, atropine sulfate, 0.01 mgJ0462Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mgJ0463Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mgJ0470Injection, dimercaprol, per 100 mgJ0475Injection, baclofen, 10 mgJ0476Injection, baclofen, 50 mcg for intrathecal trialJ0480Injection, basiliximab, 20 mgJ0485Injection, belatacept, 1 mgJ0490Injection, belimumab, 10 mgJ0491Injection, anifrolumab-fnia, 1 mgJ0500Injection, dicyclomine hcl, up to 20 mgJ0515Injection, benztropine mesylate, per 1 mgJ0517Injection, benralizumab, 1 mgJ0520Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mgJ0525Injection, cefotetan disodium, 10 mgJ0528Injection, fosfomycin disodium, 20 mgJ0558Injection, penicillin g benzathine and penicillin g procaine, 100,000 unitsJ0561Injection, penicillin g benzathine, 100,000 unitsJ0565Injection, bezlotoxumab, 10 mgJ0567Injection, cerliponase alfa, 1 mgJ0570Buprenorphine implant, 74.2 mgJ0571Buprenorphine, oral, 1 mgJ0572Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphineJ0573Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphineJ0574Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphineJ0575Buprenorphine/naloxone, oral, greater than 10 mg buprenorphineJ0577Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapyJ0578Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapyJ0582Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mgJ0583Injection, bivalirudin, 1 mgJ0584Injection, burosumab-twza 1 mgJ0585Injection, onabotulinumtoxina, 1 unitJ0586Injection, abobotulinumtoxina, 5 unitsJ0587Injection, rimabotulinumtoxinb, 100 unitsJ0588Injection, incobotulinumtoxin a, 1 unitJ0589Injection, daxibotulinumtoxina-lanm, 1 unitJ0591Injection, deoxycholic acid, 1 mgJ0592Injection, buprenorphine hydrochloride, 0.1 mgJ0593Injection, 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)J0594injection, busulfan, 1 mgJ0595Injection, butorphanol tartrate, 1 mgJ0596Injection, c1 esterase inhibitor (recombinant), ruconest, 10 unitsJ0597Injection, c-1 esterase inhibitor (human), berinert, 10 unitsJ0598Injection, c-1 esterase inhibitor (human), cinryze, 10 unitsJ0599Injection, c-1 esterase inhibitor (human), (haegarda), 10 unitsJ0600Injection, edetate calcium disodium, up to 1000 mgJ0601Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)J0602Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis)J0603Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)J0604Cinacalcet, oral, 1 mg, (for esrd on dialysis)J0605Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis)J0606Injection, etelcalcetide, 0.1 mgJ0607Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)J0608Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis)J0609Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis)J0612Injection, calcium gluconate, not otherwise specified, 10 mgJ0613Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mgJ0614Injection, treosulfan, 50 mgJ0615Calcium acetate, oral, 23 mg (for esrd on dialysis)J0616Injection, metoprolol tartrate, 1 mgJ0618Injection, calcium chloride, 2 mgJ0620Injection, calcium glycerophosphate and calcium lactate, per 10 mlJ0630Injection, calcitonin salmon, up to 400 unitsJ0636Injection, calcitriol, 0.1 mcgJ0637Injection, caspofungin acetate, 5 mgJ0638Injection, canakinumab, 1 mgJ0641Injection, levoleucovorin, not otherwise specified, 0.5 mgJ0642Injection, levoleucovorin (khapzory), 0.5 mgJ0643Injection, leucovorin calcium, not otherwise specified, 1 mgJ0644Injection, leucovorin calcium (avyxa), 1 mgJ0650Injection, levothyroxine sodium, not otherwise specified, 10 mcgJ0651Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcgJ0652Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcgJ0654Injection, liothyronine, 1 mcgJ0665Injection, bupivicaine, not otherwise specified, 0.5 mgJ0666Injection, bupivacaine liposome, 1 mgJ0668Instillation, bupivacaine and meloxicam, 1 mg/0.03 mgJ0670Injection, mepivacaine hydrochloride, per 10 mlJ0675Injection, carboprost tromethamine, 0.1 mgJ0681Injection, ceftobiprole medocaril sodium, 3 mgJ0687Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mgJ0688Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mgJ0689Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mgJ0690Injection, cefazolin sodium, 500 mgJ0691Injection, lefamulin, 1 mgJ0692Injection, cefepime hydrochloride, 500 mgJ0694Injection, cefoxitin sodium, 1 gmJ0695Injection, ceftolozane 50 mg and tazobactam 25 mgJ0696Injection, ceftriaxone sodium, per 250 mgJ0697Injection, sterile cefuroxime sodium, per 750 mgJ0698Injection, cefotaxime sodium, per gmJ0699Injection, cefiderocol, 10 mgJ0701Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mgJ0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mgJ0703Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mgJ0706Injection, caffeine citrate, 5 mgJ0712Injection, ceftaroline fosamil, 10 mgJ0713Injection, ceftazidime, per 500 mgJ0714Injection, ceftazidime and avibactam, 0.5 g/0.125 gJ0716Injection, centruroides immune f(ab)2, up to 120 milligramsJ0717Injection, 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)J0720Injection, chloramphenicol sodium succinate, up to 1 gmJ0725Injection, chorionic gonadotropin, per 1,000 usp unitsJ0735Injection, clonidine hydrochloride, 1 mgJ0736Injection, clindamycin phosphate, 300 mgJ0737Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mgJ0738Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)J0739Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)J0740Injection, cidofovir, 375 mgJ0741Injection, cabotegravir and rilpivirine, 2mg/3mgJ0742Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mgJ0743Injection, cilastatin sodium; imipenem, per 250 mgJ0744Injection, ciprofloxacin for intravenous infusion, 200 mgJ0745Injection, codeine phosphate, per 30 mgJ0750Emtricitabine 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)J0751Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)J0752Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)J0759Injection, clevidipine butyrate, 1 mgJ0770Injection, colistimethate sodium, up to 150 mgJ0775Injection, collagenase, clostridium histolyticum, 0.01 mgJ0780Injection, prochlorperazine, up to 10 mgJ0791Injection, crizanlizumab-tmca, 5 mgJ0799Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classifiedJ0801Injection, corticotropin (acthar gel), up to 40 unitsJ0802Injection, corticotropin (ani), up to 40 unitsJ0834Injection, cosyntropin, 0.25 mgJ0840Injection, crotalidae polyvalent immune fab (ovine), up to 1 gramJ0841Injection, crotalidae immune f(ab')2 (equine), 120 mgJ0850Injection, cytomegalovirus immune globulin intravenous (human), per vialJ0870Injection, imetelstat, 1 mgJ0871Injection, daptomycin (endo), not therapeutically equivalent to j0878, 1 mgJ0872Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mgJ0873Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mgJ0874Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mgJ0875Injection, dalbavancin, 5 mgJ0877Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mgJ0878Injection, daptomycin, 1 mgJ0879Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)J0882Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)J0883Injection, argatroban, 1 mg (for non-esrd use)J0884Injection, argatroban, 1 mg (for esrd on dialysis)J0885Injection, epoetin alfa, (for non-esrd use), 1000 unitsJ0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)J0888Injection, epoetin beta, 1 microgram, (for non esrd use)J0890Injection, peginesatide, 0.1 mg (for esrd on dialysis)J0891Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)J0892Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)J0893Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mgJ0894Injection, decitabine, 1 mgJ0895Injection, deferoxamine mesylate, 500 mgJ0896Injection, luspatercept-aamt, 0.25 mgJ0897Injection, denosumab, 1 mgJ0898Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)J0899Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)J0901Vadadustat, oral, 1 mg (for esrd on dialysis)J0911Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)J0945Injection, brompheniramine maleate, per 10 mg
Procedure codeCODABLE
J0799
Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified
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.