HCPCS Range Miscellaneous Drugs

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

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

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

• 4 Fluocinolone acetonide, intravitreal implant ( J7311 )

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

• 6 Mitomycin, ophthalmic, 0.2 mg ( J7315 )

• 7 Injection, ocriplasmin, 0.125 mg ( J7316 )

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

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

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

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

• 12 Autologous cultured chondrocytes, implant ( J7330 )

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

• 14 Installation, ciprofloxacin otic suspension, 6 mg ( J7342 )

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

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

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

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

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

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