J04 — HCPCS Level II Codes

• J0400 Injection, aripiprazole, intramuscular, 0.25 mg billable
• J0401 Injection, aripiprazole (abilify maintena), 1 mg billable
• J0402 Injection, aripiprazole (abilify asimtufii), 1 mg billable
• J0456 Injection, azithromycin, 500 mg billable
• J0457 Injection, aztreonam, 100 mg billable
• J0458 Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) billable
• J0461 Injection, atropine sulfate, 0.01 mg billable
• J0462 Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg billable
• J0463 Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg billable
• J0470 Injection, dimercaprol, per 100 mg billable
• J0475 Injection, baclofen, 10 mg billable
• J0476 Injection, baclofen, 50 mcg for intrathecal trial billable
• J0480 Injection, basiliximab, 20 mg billable
• J0485 Injection, belatacept, 1 mg billable
• J0490 Injection, belimumab, 10 mg billable
• J0491 Injection, anifrolumab-fnia, 1 mg billable