Showing codes J1056 (Injection, medroxyprogesterone acetate / estradiol cypionate, 5mg / 25mg) — J1205 (Injection, chlorothiazide sodium, per 500 mg)
J1056 - Ma/ec contraceptiveinjection
Long description: Injection, medroxyprogesterone acetate / estradiol cypionate, 5mg / 25mg
Code added date: 20020101.
Code effective date: 20130101.
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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J1060 - Testosterone cypionate 1 ml
Long description: Injection, testosterone cypionate and estradiol cypionate, up to 1 ml
Code added date: 19820101.
Code effective date: 20150101.
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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J1070 - Testosterone cypionat 100 mg
Long description: Injection, testosterone cypionate, up to 100 mg
Code added date: 19820101.
Code effective date: 20150101.
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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J1071 - Inj testosterone cypionate
Long description: Injection, testosterone cypionate, 1 mg
Code added date: 20150101.
Code effective date: 20150101.
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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J1072 - Inj, testosterone, azmiro
Long description: Injection, testosterone cypionate (azmiro), 1 mg
Code added date: 20250401.
Code effective date: 20250401.
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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J1073 - Testosterone pellet 75 mg
Long description: Testosterone pellet, implant, 75 mg
Code added date: 20260101.
Code effective date: 20260101.
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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J1080 - Testosterone cypionat 200 mg
Long description: Injection, testosterone cypionate, 1 cc, 200 mg
Code added date: 19820101.
Code effective date: 20150101.
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
J1094 - Inj dexamethasone acetate
Long description: Injection, dexamethasone acetate, 1 mg
Code added date: 20030101.
Code effective date: 20250401.
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
J1095 - Injection, dexamethasone 9%
Long description: Injection, dexamethasone 9 percent, intraocular, 1 microgram
Code added date: 20190101.
Code effective date: 20230101.
Pricing Indicator Code(s):
53
; (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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J1096 - Dexametha opth insert 0.1 mg
Long description: Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
Code added date: 20191001.
Code effective date: 20191001.
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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J1097 - Phenylep ketorolac opth soln
Long description: Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
Code added date: 20191001.
Code effective date: 20191001.
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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J1098 - Articaine ophthalmi 8% 0.4ml
Long description: Articaine ophthalmic, 8% solution, 0.4 ml
Code added date: 20260401.
Code effective date: 20260401.
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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J1100 - Dexamethasone sodium phos
Long description: Injection, dexamethasone sodium phosphate, 1 mg
Code added date: 19820101.
Code effective date: 20010101.
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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J1105 - Dexmedetomidine film, 1 mcg
Long description: Dexmedetomidine, oral, 1 mcg
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: I (A code denoting Medicare coverage status).
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J1110 - Inj dihydroergotamine mesylt
Long description: Injection, dihydroergotamine mesylate, per 1 mg
Code added date: 19820101.
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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J1120 - Acetazolamid sodium injectio
Long description: Injection, acetazolamide sodium, up to 500 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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J1130 - Inj diclofenac sodium 0.5mg
Long description: Injection, diclofenac sodium, 0.5 mg
Code added date: 20170101.
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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J1160 - Digoxin injection
Long description: Injection, digoxin, up to 0.5 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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PDF
J1162 - Digoxin immune fab (ovine)
Long description: Injection, digoxin immune fab (ovine), per vial
Code added date: 20060101.
Code effective date: 20060101.
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
J1163 - Inj, diltiazem hcl, 0.5 mg
Long description: Injection, diltiazem hydrochloride, 0.5 mg
Code added date: 20250701.
Code effective date: 20250701.
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
J1164 - Inj diltiazem in 0.72% nacl
Long description: Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg
Code added date: 20260401.
Code effective date: 20260401.
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
J1165 - Phenytoin sodium injection
Long description: Injection, phenytoin sodium, 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
J1170 - Hydromorphone injection
Long description: Injection, hydromorphone, up to 4 mg
Code added date: 19820101.
Code effective date: 20241001.
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
J1171 - Inj, hydromorphone, 0.1 mg
Long description: Injection, hydromorphone, 0.1 mg
Code added date: 20241001.
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: D (A code denoting Medicare coverage status).
HTML
PDF
J1180 - Dyphylline injection
Long description: Injection, dyphylline, up to 500 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
J1190 - Dexrazoxane hcl injection
Long description: Injection, dexrazoxane hydrochloride, per 250 mg
Code added date: 19970101.
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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PDF
J1200 - Diphenhydramine hcl injectio
Long description: Injection, diphenhydramine hcl, up to 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).
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PDF
J1201 - Inj. cetirizine hcl 0.5mg
Long description: Injection, cetirizine hydrochloride, 0.5 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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PDF
J1202 - Miglustat oral 65 mg
Long description: Miglustat, oral, 65 mg
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: I (A code denoting Medicare coverage status).
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J1203 - Inj, cipaglucosidase, 5 mg
Long description: Injection, cipaglucosidase alfa-atga, 5 mg
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
J1205 - Chlorothiazide sodium inj
Long description: Injection, chlorothiazide sodium, per 500 mg
Code added date: 19820101.
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).
HTML
PDF