Showing codes J3373 (Injection, vancomycin hydrochloride, 10 mg) — J3470 (Injection, hyaluronidase, up to 150 units)
J3373 - Inj, vancomycin hcl, 10 mg
Long description: Injection, vancomycin hydrochloride, 10 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: D (A code denoting Medicare coverage status).
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J3374 - Inj, vancomycin (mylan) 10mg
Long description: Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 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: D (A code denoting Medicare coverage status).
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J3375 - Inj vancomycin (xellia) 10mg
Long description: Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 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: D (A code denoting Medicare coverage status).
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J3376 - Inj vancomycin (hikma) 10mg
Long description: Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 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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J3379 - Inj, valproate sod, 5 mg
Long description: Injection, valproate sodium, 5 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: C (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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J3387 - Inj elivaldogene autotemecel
Long description: Injection, elivaldogene autotemcel, per treatment
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: C (A code denoting Medicare coverage status).
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J3389 - Topi adm prad zami per treat
Long description: Topical administration, prademagene zamikeracel, per treatment
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: C (A code denoting Medicare coverage status).
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J3391 - Inj, atidarsagene autotemcel
Long description: Injection, atidarsagene autotemcel, per treatment
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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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: 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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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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J3402 - Inj. remestemcel-l-rknd/ td
Long description: Injection, remestemcel-l-rknd, per therapeutic dose
Code added date: 20251001.
Code effective date: 20251001.
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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J3403 - Revakinagene, per implant
Long description: Revakinagene taroretcel-lwey, per implant
Code added date: 20251001.
Code effective date: 20251001.
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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J3404 - Inj zopapogene per ther dose
Long description: Injection, zopapogene imadenovec-drba suspension, per therapeutic dose
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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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).
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J3424 - Inj hydroxocobalamin iv 25mg
Long description: Injection, hydroxocobalamin, intravenous, 25 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).
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J3425 - Hydroxocobalamin im 10mcg
Long description: Injection, hydroxocobalamin, intramuscular, 10 mcg
Code added date: 20240101.
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).
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J3430 - Vitamin k phytonadione inj
Long description: Injection, phytonadione (vitamin k), per 1 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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J3465 - Injection, voriconazole
Long description: Injection, voriconazole, 10 mg
Code added date: 20040101.
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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PDF
J3470 - Hyaluronidase injection
Long description: Injection, hyaluronidase, up to 150 units
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