Drugs and Biologicals

11 categories, 194 billing codes.

Injectable drugs24 codes
J0135Injection, adalimumab, 20 mg J0170Injection, adrenalin, epinephrine, 0.1 mg J0171Injection, adrenalin, epinephrine, 1 mg J0295Injection, ampicillin sodium/sulbactam sodium, 1.5g J0456Injection, azithromycin, 500mg J0585Injection, onabotulinumtoxinA, 1 unit J0587Injection, rimabotulinumtoxinB, 100 units J0696Injection, ceftriaxone sodium, per 250mg J0702Injection, betamethasone acetate/sodium phosphate, per 3mg J0710Injection, cephapirin sodium, up to 1g J0735Injection, clonidine HCl, 1mg J0744Injection, ciprofloxacin, 200mg J0878Injection, daptomycin, 1mg J1100Injection, dexamethasone sodium phosphate, 1mg J1170Injection, hydromorphone, up to 4mg J1200Injection, diphenhydramine HCl, up to 50mg J1885Injection, ketorolac tromethamine, per 15mg J2270Injection, morphine sulfate, up to 10mg J2405Injection, ondansetron HCl, per 1mg J2550Injection, promethazine HCl, up to 50mg J2795Injection, ropivacaine HCl, 1mg J3010Injection, fentanyl citrate, 0.1mg J3301Injection, triamcinolone acetonide, not otherwise specified, 10mg J3420Injection, vitamin B-12 cyanocobalamin, up to 1000mcg
Infused drugs24 codes
J0129Injection, abatacept, 10mg J0257Injection, alpha1-proteinase inhibitor, 10mg J0490Injection, belimumab, 10mg J0561Injection, penicillin G benzathine, 100,000 units J0714Injection, cefiderocol, 10mg J0885Injection, epoetin alfa, non-ESRD use, 1000 units J0897Injection, denosumab, 1mg J1300Injection, eculizumab, 10mg J1439Injection, ferric carboxymaltose, 1mg J1459Injection, immune globulin (Privigen), 500mg J1568Injection, immune globulin (Octagam), 500mg J1642Injection, heparin sodium, per 1000 units J1644Injection, heparin sodium, per 1000 units (alternate formulation)J1745Injection, infliximab, 10mg J1756Injection, iron sucrose, 1mg J1786Injection, imiglucerase, 10 units J2323Injection, natalizumab, 1mg J2350Injection, ocrelizumab, 1mg J2357Injection, omalizumab, 5mg J2778Injection, ranibizumab, 0.1mg J2820Injection, sargramostim (GM-CSF), 50mcg J3060Injection, taliglucerase alfa, 10 units J7192Factor VIII, recombinant, per IU J7300Intrauterine copper contraceptive
Chemotherapy drugs29 codes
J9000Injection, doxorubicin HCl, 10mg J9017Injection, arsenic trioxide, 1mg J9035Injection, bevacizumab, 10mg J9040Injection, bleomycin sulfate, 15 units J9045Injection, carboplatin, 50mg J9060Injection, cisplatin, 10mg J9070Cyclophosphamide, 100mg J9098Injection, cytarabine liposome, 10mg J9171Injection, docetaxel, 1mg J9190Injection, fluorouracil, 500mg J9201Injection, gemcitabine HCl, 200mg J9207Injection, ixabepilone, 1mg J9217Leuprolide acetate (for depot suspension), 7.5mg J9228Injection, ipilimumab, 1mg J9250Methotrexate sodium, 5mg J9260Methotrexate sodium, 50mg J9264Injection, paclitaxel protein-bound particles, 1mg J9267Injection, paclitaxel, 1mg J9271Injection, pembrolizumab, 1mg J9299Injection, nivolumab, 1mg J9305Injection, pemetrexed, 10mg J9310Injection, rituximab, 10mg J9312Injection, rituximab, biosimilar, 10mg J9330Injection, temsirolimus, 1mg J9354Injection, ado-trastuzumab emtansine, 1mg J9355Injection, trastuzumab, 10mg J9360Injection, vinblastine sulfate, 1mg J9370Vincristine sulfate, 1mg J9395Injection, fulvestrant, 25mg
Immunotherapy drugs9 codes
J0517Injection, benralizumab, 1mg J0638Injection, canakinumab, 1mg J0717Injection, certolizumab pegol, 1mg J1602Injection, golimumab, 1mg J2182Injection, mepolizumab, 1mg J2503Injection, pegaptanib sodium, 0.3mg J3262Injection, tocilizumab, 1mg J3380Injection, vedolizumab, 1mg J9227Injection, isatuximab-irfc, 10mg
Vaccines26 codes
90630Influenza virus vaccine, quadrivalent, intradermal 90653Influenza vaccine, adjuvanted, for intramuscular use 90654Influenza virus vaccine, intradermal 90661Influenza vaccine, cell culture derived 90662Influenza vaccine, split virus, preservative-free, enhanced immunogenicity 90670Pneumococcal conjugate vaccine, 13 valent 90671Pneumococcal conjugate vaccine, 15 valent 90677Pneumococcal conjugate vaccine, 20 valent 90686Influenza virus vaccine, quadrivalent, preservative free 90688Influenza virus vaccine, quadrivalent, split virus 90696DTaP-IPV vaccine 90700DTaP vaccine 90707MMR vaccine 90715Tdap vaccine 90716Varicella virus vaccine 90732Pneumococcal polysaccharide vaccine, 23-valent 90739Hepatitis B vaccine, adult dosage, 2 dose schedule 90740Hepatitis B vaccine, dialysis/immunosuppressed patient dosage 90743Hepatitis B vaccine, adolescent, 2 dose schedule 90744Hepatitis B vaccine, pediatric/adolescent, 3 dose schedule 90746Hepatitis B vaccine, adult dosage, 3 dose schedule 90747Hepatitis B vaccine, dialysis/immunosuppressed, 4 dose schedule 90750Zoster (shingles) vaccine, recombinant 90756Influenza virus vaccine, quadrivalent, cell culture derived 91300COVID-19 vaccine, mRNA, first dose 91301COVID-19 vaccine, mRNA, booster dose
Biological products16 codes
J1556Injection, immune globulin, 1g (Bivigam)J1561Injection, immune globulin, 500mg (Gamunex/Gammaked)J1566Injection, immune globulin, lyophilized, 500mg P9010Blood, whole, for transfusion, per unit P9016Red blood cells, leukocytes reduced, each unit P9021Red blood cells, each unit P9031Platelets, leukocytes reduced, each unit P9040Platelets, leukoreduced, apheresis/pheresis, each unit P9044Cryoprecipitate, each unit P9070Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit Q5103Injection, infliximab-dyyb, biosimilar, 10mg Q5104Injection, infliximab-abda, biosimilar, 10mg Q5107Injection, bevacizumab-awwb, biosimilar, 10mg Q5109Injection, infliximab-qbtx, biosimilar, 10mg Q5111Injection, pegfilgrastim-cbqv, biosimilar, 0.5mg Q5118Injection, trastuzumab-pkrb, biosimilar, 10mg
Radiopharmaceuticals16 codes
A9500Technetium Tc-99m sestamibi, per dose A9502Technetium Tc-99m tetrofosmin, per dose A9503Technetium Tc-99m medronate, per dose A9505Thallium TL-201 thallous chloride, per mCi A9512Technetium Tc-99m pertechnetate, per mCi A9526Nitrogen N-13 ammonia, per dose A9539Technetium Tc-99m pyrophosphate, per dose A9541Technetium Tc-99m macroaggregated albumin, per dose A9552Fluorodeoxyglucose F-18 FDG, per dose A9555Rubidium Rb-82, per dose A9560Technetium Tc-99m labeled red blood cells, per dose A9569Technetium Tc-99m exametazime labeled autologous white blood cells, per dose A9580Sodium fluoride F-18, per dose A9600Strontium Sr-89 chloride, per mCi A9604Samarium SM-153 lexidronam, per mCi A9699Radiopharmaceutical, therapeutic, not otherwise classified
Skin-substitute products11 codes
Q4100Skin substitute, not otherwise specified Q4101Apligraf, per sq cm Q4102Oasis wound matrix, per sq cm Q4106Dermagraft, per sq cm Q4107GraftJacket, per sq cm Q4116AlloDerm, per sq cm Q4121TheraSkin, per sq cm Q4131EpiFix/EpiCord, per sq cm Q4151AmnioBand/Guardian, per sq cm Q4186Epifix, per sq cm Q4205Membrane wrap, per sq cm
Unclassified drugs7 codes
C9399Unclassified drugs or biologics J3490Unclassified drugs J3590Unclassified biologics J7999Compounded drug, not otherwise classified J8499Prescription drug, oral, non-chemotherapeutic, not otherwise specified J8999Prescription drug, oral, chemotherapeutic, not otherwise specified J9999Not otherwise classified, antineoplastic drugs
Drug administration supplies14 codes
A4211Supplies for self-administered injections A4212Non-coring needle or stylet with or without catheter A4213Syringe, sterile, 20cc or greater, each A4215Needle, sterile, any size, each A4216Sterile saline/water, metered dose dispenser, 10ml A4217Sterile water/saline, 500ml A4221Supplies for maintenance of drug infusion catheter, per week A4222Infusion supplies for external drug infusion pump, per cassette/bag A4223Infusion supplies not used with external infusion pump, per day A4230Infusion set for external insulin pump, non-needle cannula type A4232Syringe with needle for external insulin pump, sterile, 3cc A4305Disposable drug delivery system, flow rate of 50ml or greater per hour A4306Disposable drug delivery system, flow rate less than 50ml per hour A9274External ambulatory infusion pump, disposable
Additional drugs and biologicals18 codes
J0491Inj Belantamab Mafodotin-blmf 1 Mg J0571Buprenorphine oral 1mg J0572Bupren/nal up to 3mg bupreno J0573Bupren/nal 3.1 to 6mg bupren J0574Bupren/nal 6.1 to 10mg bupre J0575Bupren/nal over 10mg bupreno J1010Inj Betamethasone Acet+sod Phos 3 Mg J1230Methadone injection J3357Inj Ustekinumab 1 Mg J3489Inj Zoledronic Acid 1 Mg J7050Inf Normal Saline Soln 250 Cc J7325Inj Hyaluronan/synvisc 1 Mg M0064Visit for drug monitoring M1008Inj Romosozumab-aqqg 1 Mg Q5115Inj Rituximab-abbs (truxima) 10 Mg Q5119Inj Infliximab-axxq (avsola) 10 Mg Q5121Inj Pegfilgrastim-apgf (nyvepria) 0.5 Mg Q5135Inj Ustekinumab-auub (selarsdi) 1 Mg