Showing codes J1453 (Injection, fosaprepitant, 1 mg) — J1580 (Injection, garamycin, gentamicin, up to 80 mg)

J1453 - Fosaprepitant injection
Long description: Injection, fosaprepitant, 1 mg
Code added date: 20090101.
Code effective date: 20220101.
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

J1454 - Inj fosnetupitant, palonoset
Long description: Injection, fosnetupitant 235 mg and palonosetron 0.25 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).
HTML    PDF

J1455 - Foscarnet sodium injection
Long description: Injection, foscarnet sodium, per 1000 mg
Code added date: 19930101.
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: D (A code denoting Medicare coverage status).
HTML    PDF

J1456 - Inj, fosaprepitant (teva)
Long description: Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 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

J1457 - Gallium nitrate injection
Long description: Injection, gallium nitrate, 1 mg
Code added date: 20050101.
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: C (A code denoting Medicare coverage status).
HTML    PDF

J1458 - Galsulfase injection
Long description: Injection, galsulfase, 1 mg
Code added date: 20070101.
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

J1459 - Inj ivig privigen 500 mg
Long description: Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg
Code added date: 20090101.
Code effective date: 20090101.
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

J1460 - Gamma globulin 1 cc inj
Long description: Injection, gamma globulin, intramuscular, 1 cc
Code added date: 19840101.
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: D (A code denoting Medicare coverage status).
HTML    PDF

J1551 - Inj cutaquig 100 mg
Long description: Injection, immune globulin (cutaquig), 100 mg
Code added date: 20220701.
Code effective date: 20220701.
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

J1552 - Inj, alyglo, 500 mg
Long description: Injection, immune globulin (alyglo), 500 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

J1553 - Inj yimmugo 100 mg
Long description: Injection, immune globulin (yimmugo), 100 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).
HTML    PDF

J1554 - Inj. asceniv
Long description: Injection, immune globulin (asceniv), 500 mg
Code added date: 20210401.
Code effective date: 20210401.
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

J1555 - Inj cuvitru, 100 mg
Long description: Injection, immune globulin (cuvitru), 100 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).
HTML    PDF

J1556 - Inj, imm glob bivigam, 500mg
Long description: Injection, immune globulin (bivigam), 500 mg
Code added date: 20140101.
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: C (A code denoting Medicare coverage status).
HTML    PDF

J1557 - Gammaplex injection
Long description: Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg
Code added date: 20120101.
Code effective date: 20120101.
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

J1558 - Inj. xembify, 100 mg
Long description: Injection, immune globulin (xembify), 100 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).
HTML    PDF

J1559 - Hizentra injection
Long description: Injection, immune globulin (hizentra), 100 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

J1560 - Gamma globulin > 10 cc inj
Long description: Injection, gamma globulin, intramuscular, over 10 cc
Code added date: 19840101.
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: D (A code denoting Medicare coverage status).
HTML    PDF

J1561 - Gamunex-c/gammaked
Long description: Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg
Code added date: 20080101.
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: D (A code denoting Medicare coverage status).
HTML    PDF

J1562 - Vivaglobin, inj
Long description: Injection, immune globulin (vivaglobin), 100 mg
Code added date: 20070101.
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: C (A code denoting Medicare coverage status).
HTML    PDF

J1566 - Immune globulin, powder
Long description: Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg
Code added date: 20060101.
Code effective date: 20080101.
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

J1568 - Octagam injection
Long description: Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg
Code added date: 20080101.
Code effective date: 20080101.
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

J1569 - Gammagard liquid injection
Long description: Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg
Code added date: 20080101.
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: D (A code denoting Medicare coverage status).
HTML    PDF

J1570 - Ganciclovir sodium injection
Long description: Injection, ganciclovir sodium, 500 mg
Code added date: 19940101.
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

J1571 - Hepagam b im injection
Long description: Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml
Code added date: 20080101.
Code effective date: 20090101.
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

J1572 - Flebogamma injection
Long description: Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg
Code added date: 20080101.
Code effective date: 20090101.
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

J1573 - Hepagam b intravenous, inj
Long description: Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml
Code added date: 20080101.
Code effective date: 20090101.
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

J1574 - Inj, ganciclovir (exela)
Long description: Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 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).
HTML    PDF

J1575 - Hyqvia 100mg immuneglobulin
Long description: Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin
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

J1576 - Inj, panzyga, 500 mg
Long description: Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg
Code added date: 20230701.
Code effective date: 20230701.
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

J1580 - Garamycin gentamicin inj
Long description: Injection, garamycin, gentamicin, up to 80 mg
Code added date: 19840101.
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