Code families
- A-code: Supplies, radiopharmaceuticals, transport & miscellaneousDrug-relevant
Supplies, radiopharmaceuticals, transport & miscellaneous
A-codes cover ambulance services, medical and surgical supplies, administrative and miscellaneous items. A9500–A9999 include diagnostic and therapeutic radiopharmaceuticals and contrast agents. Payment depends on the specific code, benefit category, and setting.
870 codes · 861 active · 48 drug-related
- C-code: Hospital outpatient (OPPS) codesDrug-relevant
Hospital outpatient (OPPS) codes
C-codes are temporary codes for hospital outpatient use under the Medicare Outpatient Prospective Payment System, including pass-through drugs and biologicals (many in C9xxx) and devices. They are generally not reported by physician offices; other payers may not recognize them.
622 codes · 382 active · 207 drug-related
- J-code: Drugs administered other than oral method; chemotherapy drugsDrug-relevant
Drugs administered other than oral method; chemotherapy drugs
J-codes are permanent national codes for drugs and biologicals — most often clinician-administered (buy-and-bill) products paid under Medicare Part B — plus certain immunosuppressive, inhalation (via DME), and oral anticancer/antiemetic drugs. Units are reported in multiples of the dosage in the code descriptor.
1,255 codes · 1,112 active · 1,241 drug-related
- P-code: Pathology and laboratory servicesDrug-relevant
Pathology and laboratory services
P-codes include pathology and laboratory services; P9xxx codes describe blood and blood products.
59 codes · 58 active · 4 drug-related
- Q-code: Temporary codesDrug-relevant
Temporary codes
Q-codes are temporary national codes recognized by Medicare. For drugs they include biosimilar products (Q51xx) and other drugs, biologicals, and skin substitutes that are not yet assigned a permanent code. Units follow the dosage in the descriptor.
644 codes · 589 active · 522 drug-related
- S-code: Temporary national codes (non-Medicare)Non-MedicareDrug-relevant
Temporary national codes (non-Medicare)
S-codes are temporary national codes established for private payers and Medicaid programs. They are not payable by Medicare; whether a payer recognizes an S-code, and how it pays, varies by payer and contract.
533 codes · 505 active · 0 drug-related
- B-code: Enteral and parenteral therapy
Enteral and parenteral therapy
B-codes describe enteral and parenteral nutrition formulae, supplies, and pumps.
51 codes · 50 active · 0 drug-related
- E-code: Durable medical equipment
Durable medical equipment
E-codes describe durable medical equipment.
673 codes · 666 active · 0 drug-related
- G-code: Procedures and professional services (temporary)
Procedures and professional services (temporary)
G-codes are temporary codes for professional services and procedures that would otherwise be coded in CPT.
2,011 codes · 1,276 active · 13 drug-related
- H-code: Behavioral health and substance use servicesNon-Medicare
Behavioral health and substance use services
H-codes are used by state Medicaid agencies for mental health and substance use services. They are not payable by Medicare.
94 codes · 94 active · 0 drug-related
- K-code: Temporary codes for DME MACs
Temporary codes for DME MACs
K-codes are temporary codes used by DME Medicare Administrative Contractors.
175 codes · 142 active · 0 drug-related
- L-code: Orthotics and prosthetics
Orthotics and prosthetics
L-codes describe orthotic and prosthetic procedures and devices.
943 codes · 935 active · 0 drug-related
- M-code: Medical services and quality measures
Medical services and quality measures
M-codes describe certain medical services and quality-measure reporting.
506 codes · 451 active · 25 drug-related
- R-code: Diagnostic radiology services
Diagnostic radiology services
R-codes describe portable diagnostic radiology transportation and setup.
3 codes · 3 active · 0 drug-related
- T-code: State Medicaid agency codesNon-Medicare
State Medicaid agency codes
T-codes are national codes established for state Medicaid agencies. They are not valid for Medicare.
114 codes · 114 active · 0 drug-related
- U-code: Coronavirus and laboratory tests (temporary)
Coronavirus and laboratory tests (temporary)
U-codes are temporary codes for certain laboratory tests.
5 codes · 2 active · 0 drug-related
- V-code: Vision, hearing, and speech-language services
Vision, hearing, and speech-language services
V-codes describe vision, hearing, and speech-language pathology services and supplies.
212 codes · 208 active · 0 drug-related