HCPCS Range Miscellaneous Drugs

• 1 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ( J7321 )

• 2 Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg) ( J7308 )

• 3 Methyl aminolevulinate (MAL) for topical administration, 16.8%, 1 gram ( J7309 )

• 4 Ganciclovir, 4.5 mg, long-acting implant ( J7310 )

• 5 Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ( J7311 )

• 6 Injection, dexamethasone, intravitreal implant, 0.1 mg ( J7312 )

• 7 Mitomycin, ophthalmic, 0.2 mg ( J7315 )

• 8 Injection, ocriplasmin, 0.125 mg ( J7316 )

• 9 Hyaluronan or derivative, Euflexxa, for intra-articular injection, per dose ( J7323 )

• 10 Hyaluronan or derivative, Orthovisc, for intra-articular injection, per dose ( J7324 )

• 11 Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg ( J7325 )

• 12 Hyaluronan or derivative, Gel-One, for intra-articular injection, per dose ( J7326 )

• 13 Autologous cultured chondrocytes, implant ( J7330 )

• 14 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ( J7320 )

• 15 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ( J7345 )

• 16 Instillation, ciprofloxacin otic suspension, 6 mg ( J7342 )

• 17 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg ( J7322 )

• 18 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ( J7327 )

• 19 Capsaicin 8% patch, per square centimeter ( J7336 )

• 20 Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ( J7340 )

• 21 Hyaluronan or derivative, Gel-Syn, for intra-articular injection, 0.1 mg ( J7328 )

• 22 Injection, fluocinolone acetonide, intravitreal implant (Iluvien), 0.01 mg ( J7313 )

• 23 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ( J7318 )

• 24 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ( J7329 )

• 25 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ( J7331 )

• 26 Injection, fluocinolone acetonide, intravitreal implant (Yutiq), 0.01 mg ( J7314 )

• 27 Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ( J7332 )

• 28 Injection, bimatoprost, intracameral implant, 1 microgram ( J7351 )

• 29 Afamelanotide implant, 1 mg ( J7352 )

• 30 Mometasone furoate sinus implant, (sinuva), 10 micrograms ( J7402 )

• 31 Anacaulase-bcdb, 8.8% gel, 1 gram ( J7353 )

• 32 Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ( J7354 )

• 33 Injection, travoprost, intracameral implant, 1 microgram ( J7355 )