HCPCS Codes Alphabetical Index

— J — / — J3 —

J3 — Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology
Code added date: 20060101
Code effective date: 20060101

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J3000 — Injection, streptomycin, up to 1 gm
Code added date: 19820101
Code effective date: 19970101

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J3010 — Injection, fentanyl citrate, 0.1 mg
Code added date: 19820101
Code effective date: 20010101

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TXT

J3030 — Injection, sumatriptan succinate, 6 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)
Code added date: 19860101
Code effective date: 20000101

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J3031 — Injection, fremanezumab-vfrm, 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)
Code added date: 20191001
Code effective date: 20191001

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J3032 — Injection, eptinezumab-jjmr, 1 mg
Code added date: 20201001
Code effective date: 20201001

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TXT

J3055 — Injection, talquetamab-tgvs, 0.25 mg
Code added date: 20240401
Code effective date: 20240401

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J3060 — Injection, taliglucerase alfa, 10 units
Code added date: 20140101
Code effective date: 20140101

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J3070 — Injection, pentazocine, 30 mg
Code added date: 19820101
Code effective date: 20190101

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J3090 — Injection, tedizolid phosphate, 1 mg
Code added date: 20160101
Code effective date: 20160101

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J3095 — Injection, telavancin, 10 mg
Code added date: 20110101
Code effective date: 20110101

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J3101 — Injection, tenecteplase, 1 mg
Code added date: 20090101
Code effective date: 20090101

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J3105 — Injection, terbutaline sulfate, up to 1 mg
Code added date: 19870101
Code effective date: 19970101

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J3110 — Injection, teriparatide, 10 mcg
Code added date: 20050101
Code effective date: 20050101

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J3111 — Injection, romosozumab-aqqg, 1 mg
Code added date: 20191001
Code effective date: 20191001

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J3120 — Injection, testosterone enanthate, up to 100 mg
Code added date: 19820101
Code effective date: 20150101

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J3121 — Injection, testosterone enanthate, 1 mg
Code added date: 20150101
Code effective date: 20150101

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J3130 — Injection, testosterone enanthate, up to 200 mg
Code added date: 19820101
Code effective date: 20150101

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TXT

J3140 — Injection, testosterone suspension, up to 50 mg
Code added date: 19820101
Code effective date: 20150101

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TXT

J3145 — Injection, testosterone undecanoate, 1 mg
Code added date: 20150101
Code effective date: 20150101

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TXT

J3150 — Injection, testosterone propionate, up to 100 mg
Code added date: 19820101
Code effective date: 20150101

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J3230 — Injection, chlorpromazine hcl, up to 50 mg
Code added date: 19820101
Code effective date: 19970101

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TXT

J3240 — Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial
Code added date: 19860101
Code effective date: 20030101

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TXT

J3241 — Injection, teprotumumab-trbw, 10 mg
Code added date: 20201001
Code effective date: 20201001

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TXT

J3243 — Injection, tigecycline, 1 mg
Code added date: 20070101
Code effective date: 20220101

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TXT

J3244 — Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mg
Code added date: 20230101
Code effective date: 20240701

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TXT

J3245 — Injection, tildrakizumab, 1 mg
Code added date: 20190101
Code effective date: 20190101

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TXT

J3246 — Injection, tirofiban hcl, 0.25 mg
Code added date: 20050101
Code effective date: 20240101

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TXT

J3247 — Injection, secukinumab, intravenous, 1 mg
Code added date: 20240701
Code effective date: 20240701

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TXT

J3250 — Injection, trimethobenzamide hcl, up to 200 mg
Code added date: 19820101
Code effective date: 19970101

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TXT

J3260 — Injection, tobramycin sulfate, up to 80 mg
Code added date: 19820101
Code effective date: 19970101

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TXT

J3262 — Injection, tocilizumab, 1 mg
Code added date: 20110101
Code effective date: 20110101

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TXT

J3263 — Injection, toripalimab-tpzi, 1 mg
Code added date: 20240701
Code effective date: 20240701

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TXT

J3265 — Injection, torsemide, 10 mg/ml
Code added date: 19960101
Code effective date: 19970101

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TXT

J3280 — Injection, thiethylperazine maleate, up to 10 mg
Code added date: 19820101
Code effective date: 19970101

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TXT

J3285 — Injection, treprostinil, 1 mg
Code added date: 20060101
Code effective date: 20060101

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TXT

J3290 — Injection, tranexamic acid, 5 mg
Code added date: 20251001
Code effective date: 20251001

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TXT

J3299 — Injection, triamcinolone acetonide (xipere), 1 mg
Code added date: 20220701
Code effective date: 20220701

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TXT

J3300 — Injection, triamcinolone acetonide, preservative free, 1 mg
Code added date: 20090101
Code effective date: 20240101

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TXT

J3301 — Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Code added date: 19910101
Code effective date: 20090101

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TXT

J3302 — Injection, triamcinolone diacetate, per 5 mg
Code added date: 19910101
Code effective date: 19970101

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TXT

J3303 — Injection, triamcinolone hexacetonide, per 5 mg
Code added date: 19910101
Code effective date: 19970101

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TXT

J3304 — Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
Code added date: 20190101
Code effective date: 20190101

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TXT

J3305 — Injection, trimetrexate glucuronate, per 25 mg
Code added date: 19960101
Code effective date: 19970101

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TXT

J3310 — Injection, perphenazine, up to 5 mg
Code added date: 19820101
Code effective date: 20140101

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TXT

J3315 — Injection, triptorelin pamoate, 3.75 mg
Code added date: 20030101
Code effective date: 20030101

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TXT

J3316 — Injection, triptorelin, extended-release, 3.75 mg
Code added date: 20190101
Code effective date: 20190101

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TXT

J3320 — Injection, spectinomycin dihydrochloride, up to 2 gm
Code added date: 19820101
Code effective date: 19970101

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TXT

J3350 — Injection, urea, up to 40 gm
Code added date: 19860101
Code effective date: 20160101

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TXT

J3355 — Injection, urofollitropin, 75 iu
Code added date: 20060101
Code effective date: 20180101

HTML | J3355 in PDF (Portable Document Format)

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TXT

J3357 — Ustekinumab, for subcutaneous injection, 1 mg
Code added date: 20110101
Code effective date: 20170101

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TXT

J3358 — Ustekinumab, for intravenous injection, 1 mg
Code added date: 20180101
Code effective date: 20180101

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TXT

J3360 — Injection, diazepam, up to 5 mg
Code added date: 19820101
Code effective date: 19970101

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PDF | J3360 in plain Text format

TXT

J3364 — Injection, urokinase, 5000 iu vial
Code added date: 19930101
Code effective date: 19970101

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TXT

J3365 — Injection, iv, urokinase, 250,000 i.u. vial
Code added date: 19920101
Code effective date: 20180101

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TXT

J3370 — Injection, vancomycin hcl, 500 mg
Code added date: 19860101
Code effective date: 20250701

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PDF | J3370 in plain Text format

TXT

J3371 — Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg
Code added date: 20230101
Code effective date: 20250701

HTML | J3371 in PDF (Portable Document Format)

PDF | J3371 in plain Text format

TXT

J3372 — Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg
Code added date: 20230101
Code effective date: 20250701

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TXT

J3373 — Injection, vancomycin hydrochloride, 10 mg
Code added date: 20250701
Code effective date: 20250701

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TXT

J3374 — Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg
Code added date: 20250701
Code effective date: 20250701

HTML | J3374 in PDF (Portable Document Format)

PDF | J3374 in plain Text format

TXT

J3375 — Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg
Code added date: 20250701
Code effective date: 20250701

HTML | J3375 in PDF (Portable Document Format)

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TXT

J3380 — Injection, vedolizumab, intravenous, 1 mg
Code added date: 20160101
Code effective date: 20240401

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TXT

J3385 — Injection, velaglucerase alfa, 100 units
Code added date: 20110101
Code effective date: 20110101

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TXT

J3391 — Injection, atidarsagene autotemcel, per treatment
Code added date: 20250701
Code effective date: 20250701

HTML | J3391 in PDF (Portable Document Format)

PDF | J3391 in plain Text format

TXT

J3392 — Injection, exagamglogene autotemcel, per treatment
Code added date: 20250101
Code effective date: 20250101

HTML | J3392 in PDF (Portable Document Format)

PDF | J3392 in plain Text format

TXT

J3393 — Injection, betibeglogene autotemcel, per treatment
Code added date: 20240701
Code effective date: 20240701

HTML | J3393 in PDF (Portable Document Format)

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TXT

J3394 — Injection, lovotibeglogene autotemcel, per treatment
Code added date: 20240701
Code effective date: 20240701

HTML | J3394 in PDF (Portable Document Format)

PDF | J3394 in plain Text format

TXT

J3396 — Injection, verteporfin, 0.1 mg
Code added date: 20050101
Code effective date: 20050101

HTML | J3396 in PDF (Portable Document Format)

PDF | J3396 in plain Text format

TXT

J3397 — Injection, vestronidase alfa-vjbk, 1 mg
Code added date: 20190101
Code effective date: 20240101

HTML | J3397 in PDF (Portable Document Format)

PDF | J3397 in plain Text format

TXT

J3398 — Injection, voretigene neparvovec-rzyl, 1 billion vector genomes
Code added date: 20190101
Code effective date: 20190101

HTML | J3398 in PDF (Portable Document Format)

PDF | J3398 in plain Text format

TXT

J3399 — Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes
Code added date: 20200701
Code effective date: 20240101

HTML | J3399 in PDF (Portable Document Format)

PDF | J3399 in plain Text format

TXT

J3400 — Injection, triflupromazine hcl, up to 20 mg
Code added date: 19820101
Code effective date: 19970101

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PDF | J3400 in plain Text format

TXT

J3401 — 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

HTML | J3401 in PDF (Portable Document Format)

PDF | J3401 in plain Text format

TXT

J3402 — Injection, remestemcel-l-rknd, per therapeutic dose
Code added date: 20251001
Code effective date: 20251001

HTML | J3402 in PDF (Portable Document Format)

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TXT

J3403 — Revakinagene taroretcel-lwey, per implant
Code added date: 20251001
Code effective date: 20251001

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TXT

J3410 — Injection, hydroxyzine hcl, up to 25 mg
Code added date: 19820101
Code effective date: 19970101

HTML | J3410 in PDF (Portable Document Format)

PDF | J3410 in plain Text format

TXT

J3411 — Injection, thiamine hcl, 100 mg
Code added date: 20040101
Code effective date: 20040101

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PDF | J3411 in plain Text format

TXT

J3415 — Injection, pyridoxine hcl, 100 mg
Code added date: 20040101
Code effective date: 20040101

HTML | J3415 in PDF (Portable Document Format)

PDF | J3415 in plain Text format

TXT

J3420 — Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
Code added date: 19860101
Code effective date: 19970101

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PDF | J3420 in plain Text format

TXT

J3424 — Injection, hydroxocobalamin, intravenous, 25 mg
Code added date: 20240401
Code effective date: 20240401

HTML | J3424 in PDF (Portable Document Format)

PDF | J3424 in plain Text format

TXT

J3425 — Injection, hydroxocobalamin, intramuscular, 10 mcg
Code added date: 20240101
Code effective date: 20250101

HTML | J3425 in PDF (Portable Document Format)

PDF | J3425 in plain Text format

TXT

J3430 — Injection, phytonadione (vitamin k), per 1 mg
Code added date: 19820101
Code effective date: 19970101

HTML | J3430 in PDF (Portable Document Format)

PDF | J3430 in plain Text format

TXT

J3465 — Injection, voriconazole, 10 mg
Code added date: 20040101
Code effective date: 20190101

HTML | J3465 in PDF (Portable Document Format)

PDF | J3465 in plain Text format

TXT

J3470 — Injection, hyaluronidase, up to 150 units
Code added date: 19820101
Code effective date: 19970101

HTML | J3470 in PDF (Portable Document Format)

PDF | J3470 in plain Text format

TXT

J3471 — Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units)
Code added date: 20060101
Code effective date: 20060101

HTML | J3471 in PDF (Portable Document Format)

PDF | J3471 in plain Text format

TXT

J3472 — Injection, hyaluronidase, ovine, preservative free, per 1000 usp units
Code added date: 20060101
Code effective date: 20060101

HTML | J3472 in PDF (Portable Document Format)

PDF | J3472 in plain Text format

TXT

J3473 — Injection, hyaluronidase, recombinant, 1 usp unit
Code added date: 20070101
Code effective date: 20070101

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TXT

J3475 — Injection, magnesium sulfate, per 500 mg
Code added date: 19960101
Code effective date: 19970101

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TXT

J3480 — Injection, potassium chloride, per 2 meq
Code added date: 19960101
Code effective date: 19970101

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TXT

J3485 — Injection, zidovudine, 10 mg
Code added date: 20010101
Code effective date: 20160101

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PDF | J3485 in plain Text format

TXT

J3486 — Injection, ziprasidone mesylate, 10 mg
Code added date: 20040101
Code effective date: 20040101

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TXT

J3487 — Injection, zoledronic acid (zometa), 1 mg
Code added date: 20030101
Code effective date: 20140101

HTML | J3487 in PDF (Portable Document Format)

PDF | J3487 in plain Text format

TXT

J3488 — Injection, zoledronic acid (reclast), 1 mg
Code added date: 20080101
Code effective date: 20140101

HTML | J3488 in PDF (Portable Document Format)

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TXT

J3489 — Injection, zoledronic acid, 1 mg
Code added date: 20140101
Code effective date: 20180101

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TXT

J3490 — Unclassified drugs
Code added date: 19860101
Code effective date: 19970101

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TXT

J3520 — Edetate disodium, per 150 mg
Code added date: 19860101
Code effective date: 19960101

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TXT

J3530 — Nasal vaccine inhalation
Code added date: 19860101
Code effective date: 19970101

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TXT

J3535 — Drug administered through a metered dose inhaler
Code added date: 19940101
Code effective date: 19970101

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J3570 — Laetrile, amygdalin, vitamin b17
Code added date: 19860101
Code effective date: 19960101

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TXT

J3590 — Unclassified biologics
Code added date: 20030101
Code effective date: 20030101

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TXT

J3591 — Unclassified drug or biological used for esrd on dialysis
Code added date: 20190101
Code effective date: 20190101

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