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Unclassified drugs

HCPCS code

Medical Policies and Guidelines for Unclassified drugs

Related policies from health plans

Adbry (tralokinumab)
Aphexda (motixafortide)
Aphexda (motixafortide)
BESREMi (ropeginterferon alfa-2b-njft)
Beta Interferons and Glatiramer Acetate for Treatment of Multiple Sclerosis
Bevacizumab for Non-Ophthalmologic Indications
Bevacizumab for Non-Ophthalmologic Indications
Cabenuva (cabotegravir extended-release; rilpivirine extended-release)
Colony Stimulating Factor Agents
Egrifta (tesamorelin)
Growth Hormone
Growth Hormone
Human Parathyroid Hormone Agents
Izervay (avacincaptad pegol)
Interleukin-1 Inhibitors
Interleukin-1 Inhibitors
Monoclonal Antibodies to Interleukin-23
Monoclonal Antibodies to Interleukin-17
Monoclonal Antibodies to Interleukin-6
Naltrexone Implantable Pellets
Proprotein Convertase Subtilisin Kexin 9 (PCSK9) Inhibitors
Selected Injectable 5HT3 Antiemetic Agents
Spevigo (spesolimab-sbzo)
Strensiq (asfotase alfa)
Tegsedi (inotersen)
Testopel (testosterone subcutaneous implant)
Tumor Necrosis Factor Antagonists
Vascular Endothelial Growth Factor (VEGF) Inhibitors
Vascular Endothelial Growth Factor (VEGF) Inhibitors
Cardiac Single-Photon Emission Computed Tomography - Medicare Advantage
Elevidys (delandistrogene moxeparvovec-rokl) (PG160)
Izervay (avancincaptad pegol) (PG168)
Voxzogo (vosoritide)
Roctavian (valoctocogene roxaparvovec-rvox) (PG163)
Vyjuvek (beremagene geperpavec-svdt) (PG147)
New Technology Assessment and Non-Covered Services
MED.00147 Cellular Therapy Products for Allogeneic Stem Cell Transplantation
MED.00135 Gene Therapy for Hemophilia
MED.00144 Gene Therapy for Duchenne Muscular Dystrophy
TRANS.00038 Thymus Tissue Transplantation
Granisetron (Sancuso, Sustol)
FORTEO, Teriparatide (Recombinant)
Setmelanotide (Imcivree)

Similar Codes


ICD10CM codes

T50.904 - Poisoning by unspecified drugs, medicaments and biological substances, undetermined
Z88.9 - Allergy status to unspecified drugs, medicaments and biological substances
T50.906 - Underdosing of unspecified drugs, medicaments and biological substances
T50.906A - Underdosing of unspecified drugs, medicaments and biological substances, initial encounter
T50.904A - Poisoning by unspecified drugs, medicaments and biological substances, undetermined, initial encount
Y63.62 - Nonadministration of necessary drug, medicament or biological substance
T50.916A - Underdosing of multiple unspecified drugs, medicaments and biological substances, initial encounter
T50.905 - Adverse effect of unspecified drugs, medicaments and biological substances
T50.916 - Underdosing of multiple unspecified drugs, medicaments and biological substances
T50.904D - Poisoning by unspecified drugs, medicaments and biological substances, undetermined, subsequent enco

HCPCS codes

J3490 - Unclassified drugs
C9399 - Unclassified drugs or biologicals
J3590 - Unclassified biologics
J7999 - Compounded drug, not otherwise classified
J9999 - Not otherwise classified, antineoplastic drugs
A9150 - Non-prescription drugs
D9630 - OTHER DRUGS AND/OR MEDICAMENTS
J7599 - Immunosuppressive drug, not otherwise classified
D9612 - THERAPEUTIC PARENTERAL DRUGS
J8499 - Prescription drug, oral, non chemotherapeutic, nos

CPT4 codes

84999 - Unlisted chemistry procedure
96549 - Unlisted chemotherapy procedure
99429 - Unlisted preventive medicine service
90749 - Unlisted vaccine/toxoid
97139 - Unlisted therapeutic procedure (specify)
78999 - Unlisted miscellaneous procedure, diagnostic nuclear medicine
96379 - Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusio
01999 - Unlisted anesthesia procedure(s)
81099 - Unlisted urinalysis procedure
93799 - Unlisted cardiovascular service or procedure