Los códigos HCPCS de fármacos ya no requieren factura en papel (JN)

Para reducir la carga del proveedor, ciertos códigos HCPCS con precio de contratista ya no requieren una factura en papel.

Cuando la información de la factura se introduce en el campo narrativo de una reclamación para cualquiera de los códigos HCPCS enumerados a continuación, no es necesario proporcionar la factura en papel real para estos servicios. Para más detalles, consulte nuestro artículo sobre el proceso para suplir el importe de la factura en ciertos códigos del HCPCS para evitar el rechazo de reclamaciones.

Código Descripción Vigente "desde" fecha de servicio Vigente "hasta" fecha de servicio
J0120 Injection, tetracycline, up to 250 mg 1/1/2025 Presente
J0209 Injection, sodium thiosulfate (hope), 100 mg 4/1/2024 Presente
J0211 Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) 7/1/2024 Presente
J0220 Injection, alglucosidase alfa, 10 mg, not otherwise specified 1/1/2024 Presente
J0300 Injection, amobarbital, up to 125 mg 1/1/2025 Presente
J0350 Injection, anistreplase, per 30 units 1/1/2025 Presente
J0364 Injection, apomorphine hydrochloride, 1 mg 1/1/2025 Presente
J0380 Injection, metaraminol bitartrate, per 10 mg 1/1/2024 Presente
J0390 Injection, chloroquine HCL, up to 250 mg 1/1/2024 Presente
J0400 Injection, aripiprazole, intramuscular, 0.25 mg 1/1/2024 Presente
J0470 Injection, dimercaprol, per 100 mg 1/1/2025 Presente
J0520 Injection, bethanechol chloride, myotonachol or Urecholine, up to 5 mg 1/1/2025 Presente
J0571 Buprenorphine, oral, 1 mg 1/1/2024 Presente
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 1/1/2024 Presente
J0573 Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine 1/1/2024 Presente
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 1/1/2024 Presente
J0575 Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine 1/1/2024 Presente
J0576 Injection, buprenorphine extended release (Brixadi), 1 mg 1/1/2025 Presente
J0591 Injection, deoxycholic acid, 1 mg 1/1/2025 Presente
J0600 Edetate calcium disodium, up to 1000 mg 1/1/2024 12/31/2024
J0620 Injection, calcium glycerophosphate and calcium lactate, per 10 ml 1/1/2024 Presente
J0650 Injection, levothyroxine sodium, not otherwise specified, 10 mcg 4/1/2024 12/31/2024
J0715 Injection, ceftizoxime sodium, per 500 mg 1/1/2025 Presente
J0716 Injection, Centruroides immune f(ab)2, up to 120 mg 1/1/2024 Presente
J0745 Injection, codeine phosphate, per 30 mg 1/1/2025 Presente
J0799 Injection, Lenacpavir when used for HIV PrEP 6/18/25 9/30/25
J0945 Injection, brompheniramine maleate, per 10 mg 1/1/2025 Presente
J1094 Injection, dexamethasone acetate, 1 mg 1/1/2025 Presente
J1095 Injection, dexamethasone 9 percent, intraocular, 1 microgram 1/1/2025 Presente
J1130 Injection, diclofenac sodium, 0.5 mg 1/1/2025 Presente
J1180 Injection, dyphylline, up to 500 mg 1/1/2024 Presente
J1260 Injection, dolasetron mesylate, 10 mg 1/1/2025 Presente
J1320 Injection, amitriptyline HCL, up to 20 mg 1/1/2025 Presente
J1434 Injection, fosaprepitant (focinvez), 1 mg 4/1/2024 12/31/2024
J1435 Injection, estrone, per 1 mg 1/1/2025 Presente
J1436 Injection, etidronate disodium, per 300 mg 1/1/2024 Presente
J1444 Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron 1/1/2025 Presente
J1562 Injection, immune globulin (Vivaglobin), 100 mg 1/1/2024 Presente
J1598 Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to J1596, 0.1 mg 7/1/2024 9/30/2024
J1599 Injection, immune globulin, intravenous, nonlyophilized (e.g., liquid), not otherwise specified, 500 mg 1/1/2024 Presente
J1600 Injection, gold sodium thiomalate, up to 50 mg 1/1/2024 Presente
J1620 Injection, gonadorelin hydrochloride, per 100 mcg 1/1/2025 Presente
J1655 Injection, tinzaparin sodium, 1000 iu 1/1/2025 Presente
J1675 Injection, histrelin acetate, 10 mcg 1/1/2024 Presente
J1700 Injection, hydrocortisone acetate, up to 25 mg 1/1/2025 Presente
J1710 Injection, hydrocortisone sodium phosphate, up to 50 mg 1/1/2024 Presente
J1726 Injection, hydroxyprogesterone caproate, (Makena), 10 mg 1/1/2025 Presente
J1729 Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg 1/1/2024 Presente
J1730 Injection, diazoxide, up to 300 mg 1/1/2025 Presente
J1749 Injection, iloprost, 0.1 mcg 10/1/2024 6/30/2025
J1810 Injection, droperidol and fentanyl citrate, up to 2 ml ampule 1/1/2024 Presente
J1815 Injection, insulin, per 5 units 1/1/2025 Presente
J1830 Injection, interferon beta-1b, 0.25 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) 1/1/2025 Presente
J1835 Injection, itraconazole, 50 mg 1/1/2025 Presente
J1840 Injection, kanamycin sulfate, up to 500 mg 1/1/2024 Presente
J1850 Injection, kanamycin sulfate, up to 75 mg 1/1/2024 Presente
J1890 Injection, cephalothin sodium, up to 1 g 1/1/2024 Presente
J1960 Injection, levorphanol tartrate, up to 2 mg 1/1/2025 Presente
J1980 Injection, hyoscyamine sulfate, up to 0.25 mg 1/1/2025 Presente
J1990 Injection, chlordiazepoxide HCL, up to 100 mg 1/1/2024 Presente
J2003 Injection, lidocaine hydrochloride, 1 mg 10/1/2024 Presente
J2004 Injection, lidocaine HCL with epinephrine, 1 mg 10/1/2024 Presente
J2180 Injection, meperidine and promethazine HCL, up to 50 mg 1/1/2024 Presente
J2246 Injection, micafungin in sodium (Baxter), not therapeutically equivalent to J2248, 1 mg 1/1/2025 Presente
J2252 Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg 10/1/2024 12/31/2024
J2253 Injection, midazolam (seizalam), 1 mg 10/1/2024 Presente
J2290 Injection, nafcillin sodium, 20 mg 1/1/2025 6/30/2025
J2320 Injection, nandrolone decanoate, up to 50 mg 1/1/2025 Presente
J2326 Injection, nusinersen, 0.1 mg 1/1/2025 Presente
J2355 Injection, oprelvekin, 5 mg 1/1/2024 Presente
J2371 Injection, nusinersen, 0.1 mg 1/1/2025 3/31/2025
J2400 Injection, chloroprocaine HCL, per 30 ml 1/1/2024 Presente
J2410 Injection, oxymorphone HCL, up to 1 mg 1/1/2024 Presente
J2460 Injection, oxytetracycline HCL, up to 50 mg 1/1/2025 Presente
J2468 Injection, palonosetron hydrochloride (avyxa), not therapeutically equivalent to J2469, 25 micrograms 7/1/2024 12/31/2024
J2503 Injection, pegaptanib sodium, 0.3 mg 1/1/2025 Presente
J2504 Injection, pegademase bovine, 25 IU 1/1/2024 Presente
J2510 Injection, penicillin g procaine, aqueous, up to 600,000 units 1/1/2025 Presente
J2513 Injection, pentastarch, 10% solution, 100 ml 1/1/2024 Presente
J2650 Injection, prednisolone acetate, up to 1 ml 1/1/2024 Presente
J2670 Injection, tolazoline HCL, up to 25 mg 1/1/2024 Presente
J2725 Injection, protirelin, per 250 mcg 1/1/2024 Presente
J2730 Injection, pralidoxime chloride, up to 1 g 1/1/2024 12/31/2024
J2770 Injection quinupristin/dalfopristin 500mg/ (150/3520) 1/1/2024 Presente
J2780 Injection, ranitidine HCL, 25 mg 1/1/2024 Presente
J2797 Injection, rolapitant, 0.5 mg 1/1/2024 Presente
J2810 Injection, theophylline, per 40 mg 1/1/2024 Presente
J2941 Injection, somatropin, 1 mg 1/1/2025 Presente
J2950 Injection, promazine HCL, up to 25 mg 1/1/2025 Presente
J2993 Injection, reteplase, 18.1 mg 1/1/2024 Presente
J3070 Injection, pentazocine, 30 mg 1/1/2025 Presente
J3265 Injection, torsemide, 10 mg/ml 1/1/2024 Presente
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg 1/1/2025 3/31/2025
J3302 Injection, triamcinolone diacetate, per 5 mg 1/1/2024 Presente
J3303 Injection, triamcinolone hexacetonide, per 5 mg 1/1/2024 12/31/2024
J3310 Injection, perphenazine, up to 5 mg 1/1/2024 Presente
J3316 Injection, triptorelin, extended release, 3.75 mg 1/1/2024 12/31/2024
J3350 injection, urea, up to 40 g 1/1/2024 Presente
J3355 Injection, urofollitropin, 75 IU 1/1/2024 Presente
J3364 Injection, urokinase, 5000 iu vial 1/1/2025 Presente
J3365 Injection, iv, urokinase, 250,000 iu. vial 1/1/2025 Presente
J3391 Injection, atidarsagene autotemcel, per 7/1/2025 Presente
J3392 Injection, exagamglogene autotemcel, per treatment 1/1/2025 Presente
J3400 Injection, triflupromazine HCL, up to 20 mg 1/1/2024 Presente
J3471 Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) 1/1/2025 Presente
J3472 Injection, hyaluronidase, ovine, preservative free, per 1,000 USP units 1/1/2024 Presente
J3520 Edetate disodium, per 150 mg 1/1/2025 Presente
J7100 Infusion, dextran 40, 500 ml 1/1/2025 Presente
J7110 Infusion, dextran 75, 500 ml 1/1/2024 Presente
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 1/1/2025 Presente
J7131 Hypertonic saline solution, 1 ml 1/1/2024 Presente
J7191 Factor VIII (antihemophilic factor (porcine)), per IU 1/1/2024 Presente
J7196 Injection, antithrombin recombinant, 50 IU 1/1/2024 Presente
J7199 Hemophilia clotting factor, not otherwise classified 1/1/2025 Presente
J7310 Ganciclovir, 4.5 mg, long-acting implant 1/1/2024 Presente
J7315 Mitomycin, ophthalmic, 0.2 mg 1/1/2024 Presente
J7330 Autologous cultured chondrocytes, implant 1/1/2024 Presente
J7352 Afamelanotide implant, 1 mg 1/1/2024 Presente
J8999 Prescription drug, oral, chemotherapeutic, NOS 1/1/2025 Presente
J9020 Injection, asparaginase, not otherwise specified, 10,000 units 1/1/2024 Presente
J9051 Injection, bortezomib (Maia), not therapeutically equivalent to j9041, 0.1 mg 1/1/2024 Presente
J9064 Injection, cabazitaxel (Sandoz), not therapeutically equivalent to j9043, 1 mg 1/1/2025 Presente
J9072 Injection, cyclophosphamide, (Dr. Reddy's), 5 mg 1/1/2024 6/30/2024
J9074 Injection, cyclophosphamide (Sandoz), 5 mg 4/1/2024 6/30/2024
J9098 Injection, cytarabine liposome, 10 mg 1/1/2024 Presente
J9151 Injection, daunorubicin citrate, liposomal formulation, 10 mg 1/1/2024 Presente
J9161 Injection, denileukin diftitox-cxdl, 1 mcg 4/1/2025 Presente
J9175 Injection, Elliott’s' b solution, 1 ml 1/1/2025 Presente
J9198 Injection, gemcitabine hydrochloride, (infugem), 100 mg 4/1/2024 Presente
J9213 Injection, interferon, alfa-2a, recombinant, 3 million units 1/1/2024 Presente
J9214 Injection, interferon, alfa-2b, recombinant, 1 million units 10/1/2023 Presente
J9219 Leuprolide acetate implant, 65 mg 1/1/2024 Presente
J9220 Injection, indigotindisulfonate sodium, 1 mg 7/1/2025 Presente
J9225 Histrelin implant (Vantas), 50 mg 1/1/2024 Presente
J9230 Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg 1/1/2025 Presente
J9247 Injection, melphalan flufenamide, 1 mg 1/1/2024 Presente
J9249 Injection, melphalan (apotex), 1 mg 4/1/2024 Presente
J9255 Injection, methotrexate (accord) not therapeutically equivalent to j9250 and j9260, 50 mg 1/1/2024 12/31/2024
J9258 Injection, paclitaxel protein-bound particles (Teva) not therapeutically equivalent to j9264, 1 mg 1/1/2024 7/1/2024
J9275 Injection, cosibelimab-ipdl, 2 mg 7/1/2025 Presente
J9296 Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg 1/1/2025 Presente
J9302 Injection, ofatumumab, 10 mg 1/1/2025 Presente
J9320 Injection, streptozocin, 1 gram 3/17/2025 Presente
J9322 Injection, pemetrexed (Bluepoint) not therapeutically equivalent to J9305, 10 mg 1/1/2024 Presente
J9324 Injection, pemetrexed (pemrydi rtu), 10 mg 1/1/2024 2/29/2024
J9361 Injection, efbemalenograstim alfa-vuxw, 0.5 mg 7/1/2024 Presente
J9371 Injection, vincristine sulfate liposome, 1 mg 1/1/2025 Presente
J9393 Injection, fulvestrant (Teva) not therapeutically equivalent to j9395, 25 mg 1/1/2024 Presente
Q5098 Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg 7/1/2025 Presente
Q5133 Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg 4/1/2024 4/30/2024
Q5134 Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg 4/1/2024 Presente
Q5136 Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg 10/1/2023 Presente
Q5137 Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg 7/1/2024 12/31/2024
Q5138 Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg 7/1/2024 12/31/2024
Q5139 Injection, eculizumab-aeeb (bkemv), biosimilar, 10 mg 1/1/2025 Presente
Q5149 Injection, aflibercept-abzv (enzeevu), biosimilar, 1 mg 4/1/2025 Presente
Q5150 Injection, aflibercept-mrbb (ahzantive), biosimilar, 1 mg 4/1/2025 Presente
Q5153 Injection, aflibercept-yszy (opuviz), biosimilar, 1 mg 7/1/2025 Presente
Q9996 Injection, ustekinumab-ttwe (Pyzchiva), subcutaneous, 1 mg 1/1/2025 Presente
Q9997 Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg 1/1/2025 Presente
Q9998 Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg 1/1/2025 6/30/2025