| CPT 90378 | Injection - Monoclonal Antibodies | Current code | 36 hospitals |
|---|
| CPT 96380 | Injection - Monoclonal Antibodies | Current code | 25 hospitals |
|---|
| CPT 96381 | Injection - Monoclonal Antibodies | Current code | 23 hospitals |
|---|
| HCPCS C9015 | Injection, c-1 esterase inhibitor (human), haegarda, 10 units | Retired code | 1 hospital |
|---|
| HCPCS C9026 | Injection, vedolizumab, 1 mg | Retired code | none yet |
|---|
| HCPCS C9029 | Injection, guselkumab, 1 mg | Retired code | 1 hospital |
|---|
| HCPCS C9040 | Injection, fremanezumab-vfrm, 1mg | Retired code | none yet |
|---|
| HCPCS C9047 | Injection, caplacizumab-yhdp, 1 mg | Current code | 29 hospitals |
|---|
| HCPCS C9050 | Injection, emapalumab-lzsg, 1 mg | Retired code | none yet |
|---|
| HCPCS C9052 | Injection, ravulizumab-cwvz, 10 mg | Retired code | none yet |
|---|
| HCPCS C9053 | Injection, crizanlizumab-tmca, 1 mg | Retired code | none yet |
|---|
| HCPCS C9061 | Injection, teprotumumab-trbw, 10 mg | Retired code | 1 hospital |
|---|
| HCPCS C9062 | Injection, daratumumab 10 mg and hyaluronidase-fihj | Retired code | 17 hospitals |
|---|
| HCPCS C9063 | Injection, eptinezumab-jjmr, 1 mg | Retired code | 1 hospital |
|---|
| HCPCS C9079 | Injection, evinacumab-dgnb, 5 mg | Retired code | 1 hospital |
|---|
| HCPCS C9086 | Injection, anifrolumab-fnia, 1 mg | Retired code | 1 hospital |
|---|
| HCPCS C9093 | Injection, ranibizumab, via sustained release intravitreal implant (susvimo), 0.1 mg | Retired code | 2 hospitals |
|---|
| HCPCS C9094 | Inj, sutimlimab-jome, 10 mg | Retired code | 1 hospital |
|---|
| HCPCS C9149 | Injection, teplizumab-mzwv, 5 mcg | Retired code | 17 hospitals |
|---|
| HCPCS C9166 | Injection, secukinumab, intravenous, 1 mg | Retired code | 10 hospitals |
|---|
| HCPCS C9168 | Injection, mirikizumab-mrkz, 1 mg | Retired code | 10 hospitals |
|---|
| HCPCS C9304 | Injection, marstacimab-hncq, 0.5 mg | Retired code | 11 hospitals |
|---|
| HCPCS C9305 | Injection, nipocalimab-aahu, 3 mg | Retired code | 9 hospitals |
|---|
| HCPCS C9466 | Injection, benralizumab, 1 mg | Retired code | 1 hospital |
|---|
| HCPCS C9473 | Injection, mepolizumab, 1 mg | Retired code | 1 hospital |
|---|
| HCPCS C9487 | Ustekinumab, for intravenous injection, 1 mg | Retired code | 1 hospital |
|---|
| HCPCS C9490 | Injection, bezlotoxumab, 10 mg | Retired code | 1 hospital |
|---|
| HCPCS C9494 | Injection, ocrelizumab, 1 mg | Retired code | 1 hospital |
|---|
| HCPCS J0130 | Injection abciximab, 10 mg | Current code | 23 hospitals |
|---|
| HCPCS J0135 | Injection, adalimumab, 20 mg | Retired code | 25 hospitals |
|---|
| HCPCS J0172 | Injection, aducanumab-avwa, 2 mg | Retired code | 25 hospitals |
|---|
| HCPCS J0174 | Lecanemab-irmb, for intravenous injection, 1 mg | Current code | 40 hospitals |
|---|
| HCPCS J0175 | Injection, donanemab-azbt, 2 mg | Current code | 35 hospitals |
|---|
| HCPCS J0480 | Injection, basiliximab, 20 mg | Current code | 29 hospitals |
|---|
| HCPCS J0490 | Injection, belimumab, 10 mg | Current code | 44 hospitals |
|---|
| HCPCS J0491 | Injection, anifrolumab-fnia, 1 mg | Current code | 41 hospitals |
|---|
| HCPCS J0517 | Injection, benralizumab, 1 mg | Current code | 39 hospitals |
|---|
| HCPCS J0565 | Injection, bezlotoxumab, 10 mg | Current code | 32 hospitals |
|---|
| HCPCS J0584 | Injection, burosumab-twza 1 mg | Current code | 33 hospitals |
|---|
| HCPCS J0593 | Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) | Current code | 28 hospitals |
|---|
| HCPCS J0638 | Injection, canakinumab, 1 mg | Current code | 31 hospitals |
|---|
| HCPCS J0640 | Injection, leucovorin calcium, per 50 mg | Current code | 39 hospitals |
|---|
| HCPCS J0791 | Injection, crizanlizumab-tmca, 5 mg | Current code | 29 hospitals |
|---|
| HCPCS J0897 | Injection, denosumab, 1 mg | Current code | 50 hospitals |
|---|
| HCPCS J1299 | Injection, eculizumab, 2 mg | Current code | 41 hospitals |
|---|
| HCPCS J1300 | Injection, eculizumab, 10 mg | Retired code | 28 hospitals |
|---|
| HCPCS J1302 | Injection, sutimlimab-jome, 10 mg | Current code | 28 hospitals |
|---|
| HCPCS J1303 | Injection, ravulizumab-cwvz, 10 mg | Current code | 43 hospitals |
|---|
| HCPCS J1305 | Injection, evinacumab-dgnb, 5mg | Current code | 28 hospitals |
|---|
| HCPCS J1307 | Injection, crovalimab-akkz, 10 mg | Current code | 28 hospitals |
|---|
| HCPCS J1628 | Injection, guselkumab, 1 mg | Current code | 41 hospitals |
|---|
| HCPCS J1745 | Injection, infliximab, excludes biosimilar, 10 mg | Current code | 48 hospitals |
|---|
| HCPCS J1746 | Injection, ibalizumab-uiyk, 10 mg | Current code | 28 hospitals |
|---|
| HCPCS J1747 | Injection, spesolimab-sbzo, 1 mg | Current code | 35 hospitals |
|---|
| HCPCS J1748 | Injection, infliximab-dyyb (zymfentra), 10 mg | Current code | 22 hospitals |
|---|
| HCPCS J1823 | Injection, inebilizumab-cdon, 1 mg | Current code | 28 hospitals |
|---|
| HCPCS J2182 | Injection, mepolizumab, 1 mg | Current code | 42 hospitals |
|---|
| HCPCS J2267 | Injection, mirikizumab-mrkz, 1 mg | Current code | 28 hospitals |
|---|
| HCPCS J2323 | Injection, natalizumab, 1 mg | Current code | 44 hospitals |
|---|
| HCPCS J2327 | Injection, risankizumab-rzaa, intravenous, 1 mg | Current code | 37 hospitals |
|---|
| HCPCS J2329 | Injection, ublituximab-xiiy, 1mg | Current code | 36 hospitals |
|---|
| HCPCS J2350 | Injection, ocrelizumab, 1 mg | Current code | 45 hospitals |
|---|
| HCPCS J2351 | Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq | Current code | 32 hospitals |
|---|
| HCPCS J2356 | Injection, tezepelumab-ekko, 1 mg | Current code | 42 hospitals |
|---|
| HCPCS J2357 | Injection, omalizumab, 5 mg | Current code | 43 hospitals |
|---|
| HCPCS J2778 | Injection, ranibizumab, 0.1 mg | Current code | 28 hospitals |
|---|
| HCPCS J2779 | Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg | Current code | 28 hospitals |
|---|
| HCPCS J2786 | Injection, reslizumab, 1 mg | Current code | 33 hospitals |
|---|
| HCPCS J2860 | Injection, siltuximab, 10 mg | Current code | 28 hospitals |
|---|
| HCPCS 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) | Current code | 26 hospitals |
|---|
| HCPCS J3032 | Injection, eptinezumab-jjmr, 1 mg | Current code | 45 hospitals |
|---|
| HCPCS J3111 | Injection, romosozumab-aqqg, 1 mg | Current code | 44 hospitals |
|---|
| HCPCS J3241 | Injection, teprotumumab-trbw, 10 mg | Current code | 42 hospitals |
|---|
| HCPCS J3245 | Injection, tildrakizumab, 1 mg | Current code | 33 hospitals |
|---|
| HCPCS J3247 | Injection, secukinumab, intravenous, 1 mg | Current code | 38 hospitals |
|---|
| HCPCS J3262 | Injection, tocilizumab, 1 mg | Current code | 39 hospitals |
|---|
| HCPCS J3357 | Ustekinumab, for subcutaneous injection, 1 mg | Current code | 37 hospitals |
|---|
| HCPCS J3358 | Ustekinumab, for intravenous injection, 1 mg | Current code | 44 hospitals |
|---|
| HCPCS J3380 | Injection, vedolizumab, intravenous, 1 mg | Current code | 47 hospitals |
|---|
| HCPCS J7170 | Injection, emicizumab-kxwh, 0.5 mg | Current code | 34 hospitals |
|---|
| HCPCS J7172 | Injection, marstacimab-hncq, 0.5 mg | Current code | 18 hospitals |
|---|
| HCPCS J7173 | Injection, concizumab-mtci, 0.5 mg | Current code | 14 hospitals |
|---|
| HCPCS J7505 | Muromonab-cd3, parenteral, 5 mg | Retired code | 15 hospitals |
|---|
| HCPCS J7513 | Daclizumab, parenteral, 25 mg | Retired code | 16 hospitals |
|---|
| HCPCS J9210 | Injection, emapalumab-lzsg, 1 mg | Current code | 29 hospitals |
|---|
| HCPCS J9332 | Injection, efgartigimod alfa-fcab, 2mg | Current code | 41 hospitals |
|---|
| HCPCS J9333 | Injection, rozanolixizumab-noli, 1 mg | Current code | 35 hospitals |
|---|
| HCPCS J9334 | Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc | Current code | 33 hospitals |
|---|
| HCPCS J9376 | Injection, pozelimab-bbfg, 1 mg | Current code | 24 hospitals |
|---|
| HCPCS J9381 | Injection, teplizumab-mzwv, 5 mcg | Current code | 29 hospitals |
|---|
| HCPCS M0220 | Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring | Retired code | 30 hospitals |
|---|
| HCPCS M0221 | Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | Retired code | 29 hospitals |
|---|
| HCPCS M0222 | Intravenous injection, bebtelovimab, includes injection and post administration monitoring | Retired code | 31 hospitals |
|---|
| HCPCS M0223 | Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | Retired code | 25 hospitals |
|---|
| HCPCS M0224 | Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring | Current code | 28 hospitals |
|---|
| HCPCS M0235 | Intravenous infusion, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, not otherwise classified, first dose | Current code | 14 hospitals |
|---|
| HCPCS M0236 | Intravenous infusion, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, not otherwise classified, second dose | Current code | 14 hospitals |
|---|
| HCPCS M0237 | Intravenous infusion, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose | Current code | 16 hospitals |
|---|
| HCPCS M0238 | Intravenous infusion, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose | Current code | 16 hospitals |
|---|
| HCPCS M0239 | Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring | Retired code | 1 hospital |
|---|
| HCPCS M0240 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses | Retired code | 24 hospitals |
|---|
| HCPCS M0241 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency, subsequent repeat doses | Retired code | 24 hospitals |
|---|
| HCPCS M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | Retired code | 30 hospitals |
|---|
| HCPCS M0244 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | Retired code | 24 hospitals |
|---|
| HCPCS M0245 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring | Retired code | 30 hospitals |
|---|
| HCPCS M0246 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider based to the hospital during the covid 19 public health emergency | Retired code | 24 hospitals |
|---|
| HCPCS M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | Retired code | 29 hospitals |
|---|
| HCPCS M0248 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | Retired code | 24 hospitals |
|---|
| HCPCS M0249 | Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose | Current code | 38 hospitals |
|---|
| HCPCS M0250 | Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose | Current code | 35 hospitals |
|---|
| HCPCS Q0220 | Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg | Retired code | none yet |
|---|
| HCPCS Q0221 | Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 600 mg | Retired code | none yet |
|---|
| HCPCS Q0222 | Injection, bebtelovimab, 175 mg | Retired code | 23 hospitals |
|---|
| HCPCS Q0224 | Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, and are unlikely to mount an adequate immune response to covid-19 vaccination, 4500 mg | Current code | 29 hospitals |
|---|
| HCPCS Q0235 | Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, not otherwise classified, 1 mg | Current code | none yet |
|---|
| HCPCS Q0237 | Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg | Current code | 2 hospitals |
|---|
| HCPCS Q0239 | Injection, bamlanivimab-xxxx, 700 mg | Retired code | none yet |
|---|
| HCPCS Q0240 | Injection, casirivimab and imdevimab, 600 mg | Retired code | 1 hospital |
|---|
| HCPCS Q0243 | Injection, casirivimab and imdevimab, 2400 mg | Retired code | none yet |
|---|
| HCPCS Q0244 | Injection, casirivimab and imdevimab, 1200 mg | Retired code | none yet |
|---|
| HCPCS Q0245 | Injection, bamlanivimab and etesevimab, 2100 mg | Retired code | none yet |
|---|
| HCPCS Q0247 | Injection, sotrovimab, 500 mg | Retired code | 20 hospitals |
|---|
| HCPCS Q0249 | Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg | Current code | 32 hospitals |
|---|
| HCPCS Q5099 | Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg | Current code | 24 hospitals |
|---|
| HCPCS Q5100 | Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg | Current code | 22 hospitals |
|---|
| HCPCS Q5102 | Injection, infliximab, biosimilar, 10 mg | Retired code | none yet |
|---|
| HCPCS Q5103 | Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg | Current code | 46 hospitals |
|---|
| HCPCS Q5104 | Injection, infliximab-abda, biosimilar, (renflexis), 10 mg | Current code | 44 hospitals |
|---|
| HCPCS Q5109 | Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg | Retired code | 9 hospitals |
|---|
| HCPCS Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | Current code | 46 hospitals |
|---|
| HCPCS Q5119 | Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg | Current code | 38 hospitals |
|---|
| HCPCS Q5121 | Injection, infliximab-axxq, biosimilar, (avsola), 10 mg | Current code | 35 hospitals |
|---|
| HCPCS Q5124 | Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg | Current code | 28 hospitals |
|---|
| HCPCS Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | Current code | 29 hospitals |
|---|
| HCPCS Q5131 | Injection, adalimumab-aacf (idacio), biosimilar, 20 mg | Retired code | 9 hospitals |
|---|
| HCPCS Q5133 | Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg | Current code | 36 hospitals |
|---|
| HCPCS Q5135 | Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg | Current code | 35 hospitals |
|---|
| HCPCS Q5136 | Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg | Current code | 23 hospitals |
|---|
| HCPCS Q5137 | Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg | Current code | 6 hospitals |
|---|
| HCPCS Q5138 | Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg | Current code | 20 hospitals |
|---|
| HCPCS Q5151 | Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg | Current code | 17 hospitals |
|---|
| HCPCS Q5152 | Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg | Current code | 17 hospitals |
|---|
| HCPCS Q9979 | Injection, alemtuzumab, 1 mg | Retired code | none yet |
|---|
| HCPCS Q9989 | Ustekinumab, for intravenous injection, 1 mg | Retired code | 1 hospital |
|---|
| HCPCS Q9995 | Injection, emicizumab-kxwh, 0.5 mg | Retired code | none yet |
|---|
| HCPCS Q9997 | Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg | Current code | 18 hospitals |
|---|
| HCPCS Q9998 | Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg | Current code | 22 hospitals |
|---|
| HCPCS Q9999 | Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg | Current code | 18 hospitals |
|---|