HCPCS Level II Code Number(s) and Narrative(s) | A4246 Betadine or Phisohex solution, per pint
C9285 Lidocaine 70 mg/Tetracaine 70 mg, per patch
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)
J0131 Injection, Acetaminophen, not otherwise specified, 10 mg
J0171 Injection, Adrenalin, Epinephrine, 0.1 mg
J0290 Injection, Ampicillin Sodium, 500 mg
J0295 Injection, Ampicillin Sodium/Sulbactam Sodium, per 1.5 gram J0457 Injection, aztreonam, 100 mg
J0461 Injection, Atropine Sulfate, 0.01 mg J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg
J0670 Injection, Mepivacaine HCL, per 10 mL
J0690 Injection, Cefazolin Sodium, 500 mg
J0692 Injection, Cefepime Hydrochloride, 500 mg
J0694 Injection, Cefoxitin Sodium, 1 Gm
J0696 Injection, Ceftriaxone Sodium, per 250 mg J0736 Injection, clindamycin phosphate, 300 mg
J0744 Injection, Ciprofloxacin for intravenous infusion, 200 mg
J0780 Injection, Prochlorperazine, up to 10 mg
J1170 Injection, Hydromorphone, up to 4 mg
J1200 Injection, Diphenhydramine HCL, up to 50 mg
J1260 Injection, Dolasetron Mesylate, 10 mg
J1335 Injection, Ertapenem Sodium, 500 mg
J1580 Injection, Garamycin, Gentamicin, up to 80 mg
J1626 Injection, Granisetron Hydrochloride, 100 mcg
J1741 Injection, Ibuprofen, 100 mg
J1790 Injection, Droperidol, up to 5 mg
J1810 Injection, Droperidol and Fentanyl Citrate, up to 2 ml ampule J1836 Injection, metronidazole, 10 mg
J1885 Injection, Ketorolac Tromethamine, per 15 mg
J1956 Injection, Levofloxacin, 250 mg
J2001 Injection, Lidocaine HCl for intravaenous infusion, 10 mg
J2010 Injection, Lincomycin HCl, up to 300 mg
J2060 Injection, Lorazepam, 2 mg
J2175 Injection, Merperidine Hydrochloride, per 100 mg
J2180 Injection, Merperidine and Promethazine HCl, up to 50 mg
J2250 Injection, Midazolam Hydrochloride, per 1 mg
J2270 Injection, Morphine Sulfate, up to 10 mg
J2271 Injection, Morphine sulfate, 100 mg
J2275 Injection, Morphine Sulfate (preservative-free solution), per 10 mg
J2300 Injection, Nalbuphine HCL, per 10 mg
J2310 Injection, Naloxone Hydrochloride, per 1 mg J2311 Injection, Naloxone hydrochloride (zimhi), 1 mg
J2401 Injection, Chloroprocaine hydrochloride, per 1 mg
J2402 Injection, Chloroprocaine hydrochloride (clorotekal), per 1 mg
J2405 Injection, Ondansetron Hydrochloride, per 1 mg
J2469 Injection, Palonosetron HCl, up to 25 mcg
J2543 Injection, Piperacillin Sodium/Tazobactam Sodium, 1 Gram /0.125 Grams (1.125 Grams)
J2550 Injection, Promethazine HCl, up to 50mg
J2704 Injection, Propofol, 10 mg
J2710 Injection, Neostigmine Methysulfate, up to 0.5 mg
J2765 Injection, Metochlopramide HCl, up to 10 mg
J2795 Injection, Ropivacaine HCL, 1 mg
J2805 Injection, Sincalide, 5 micrograms
J3010 Injection, Fentanyl Citrate, 0.1 mg
J3260 Injection, Tobramycin sulfate, up to 80 mg
J3360 Injection, Diazepam, up to 5 mg
J3370 Injection, Vancomycin HCl, 500 mg
J3410 Injection, Hydroxyzine HCl, up to 25 mg
J3475 Injection, Magnesium Sulfate, per 500 mg
J7040 Infusion, Normal Saline Solution, 500 cc
J7050 Infusion, Normal Saline Solution, 250 cc
J7120 Ringers Lactate Infusion, up to 1000 cc
J8501 Aprepitant, oral, 5 mg
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gm
S0028 Injection, Famotidine, 20 mg
S0074 Injection, Cefotetan Disodium, 500 mg
S0119 Ondasetron,oral, 4 mg (for circumstances falling under the Medicare statute, use HCPCS Q code)
S5010 5% Dextrose and 0.45% Normal Saline, 1000 ml |