HCPCS Code: J0120 Short Description: Tetracyclin injection Long Description: Injection, tetracycline, up to 250 mg HCPCS Code: J0129 Short Description: Abatacept injection Long Description: Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, … Injection, tetracycline, up to 250 mg. J0129. PHENOBARBITAL SODIUM 65 mg/mL ; ... Daytime Sedation: 30 to 120 mg daily in 2 to 3 divided doses IM or IV Bedtime Hypnosis: 100 to 320 mg IM or IV Preoperative Sedation: IM only — 100 to 200 mg 60 to 90 minutes before surgery Acute Convulsions: 20 to 320 mg IM or IV … HCPCS/Drug Code List Version 11.9 Revised 4/8/19 List will be updated routinely Disclaimer: For drug codes that require an NDC, coverage depends on the drug NDC status (rebate eligible, Non-DESI, non-termed, etc) on the date of service. Acetazolamide sodium up to 500 mg IM, IV J1120 Acetylcysteine, IVection 100 mg IV J0132 Acetylcysteine, unit dose form per gram INH J7604, J7608 . J Code HCPCS Description Generic Name Latest Label Name J9354 Ado-trastuzumab emt inj, 1 MG ... 100 MG Dacarbazine DTIC-DOME IV 200 MG VIAL J9120 Dactinomycin inj, 0.5 MG Dactinomycin DACTINOMYCIN 0.5 MG VIAL ... 200 MG Gemcitabine Hcl In 0.9 % Sodium Chloride INFUGEM 2,200 MG/220 ML BAG … -Recommended dose: 100 to 200 mg orally once a day-Maximum dose: 400 mg during a 24-hour period Parenteral:-Recommended dose: 100 to 320 mg IM or IV once a day-Maximum dose: 400 mg during a 24-hour period Comments:-This drug may begin to lose effectiveness for inducing and … Achromycin, see Tetracycline . J Codes. HCPCS J Codes - Drugs administered other than oral method, chemotherapy drugs. Injection, abatacept, 10 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) HCPCS Code: J7614. Acetazolamide sodium up to 500 mg IM, IV J1120 Acetylcysteine, Injection 100 mg IV J0132 Acetylcysteine, unit dose form per gram INH J7604, J7608 . Ceftazidime and avibactam 0.5 g/0.125 g IV J0714 Ceftizoxime sodium per 500 mg IV, IM J0715 Ceftriaxone sodium per 250 mg IV, IM J0696 Ceftolozane 50 mg and tazobactam 25 mg IV J0695 Cefuroxime sodium, sterile per 750 mg IM, IV J0697 Celestone Soluspan, see Betamethasone acetate and betamethasone sodium … ... micafungin sodium, 1 mg J2250 Injection, midazolam hydrochloride, per 1 mg ... Injection, moxifloxacin, 100 mg J2300 Injection, nalbuphine hydrochloride, per 10 mg … 2 . J0120. HCPCS Code Medication Description HCPCS Code Medication Description J0130 Repro J7070 D5w infusion J0170 ADRENALINE, EPINEPHRINE HCL 1 MG J7100 Dextran 40 infusion J0278 AMIKACIN SULFATE, 100 MG J7110 Dextran 75 infusion J0290 Ampicillin 500 MG inj J7120 Ringers lactate infusion J0295 Ampicillin sodium … HCPCS Code Description: Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J0120: Tetracyclin injection: J0121: Inj., omadacycline, 1 mg: J0122: Inj., eravacycline, 1 mg Each ingredient name is the preferred term of the UNII code submitted.
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