HCPCS Code Applications and Approvals: October 2024

Quarterly archive · CMS Level II HCPCS

Second Quarter 2024 coding cycle · Effective · Source: CMS application summaries (PDF) ↗

36 coding decisions from the Second Quarter 2024 CMS cycle

These are the Centers for Medicare and Medicaid Services (CMS) Level II HCPCS drug coding decisions from the Second Quarter 2024 coding cycle, which took effect October 1, 2024.

For the newest decisions, see the current HCPCS code applications and approvals.

CMS Level II HCPCS Drug Coding Decisions

Does not include Q4 skin repair and wound codes.

How to Read This Table
Action
CMS decision on the application — establish a new code, revise an existing descriptor, reinstate a code, or discontinue one. See the glossary.
Code Change
Where CMS retires a code in favor of another, the new code shows the code it replaces and the retired code shows its replacement.
505(b)(2) and Biosimilar
Tags beside the drug name mark products approved under the FDA 505(b)(2) pathway and biosimilars.
Effective
First date of service on which the code may be billed. Codes effective before this quarter reflect retroactive establishment; codes effective after it are decisions CMS scheduled for a later quarter.
HCPCS Drug & Descriptor Company Code Change Action Effective
A9610
XENOVIEW

Xenon xe-129 hyperpolarized gas, diagnostic, per study dose

Polarean Inc. ReplacesC9150 Establish
C9150
XENOVIEW

Xenon xe-129 hyperpolarized gas, diagnostic, per study dose

Polarean Inc. Replaced byA9610 Discontinue
J0138
COMBOGESIC IV 505(b)(2)

Injection, acetaminophen 10 mg and ibuprofen 3 mg

Hikma Pharmaceuticals USA Inc. Intravenous — Establish
J0175
KISUNLA

Injection, donanemab-azbt, 2 mg

Lilly Intravenous — Establish
J1170
Hydromorphone

Injection, hydromorphone, up to 4 mg

— Replaced byJ1171 Discontinue
J1171
Hydromorphone

Injection, hydromorphone, 0.1 mg

— ReplacesJ1170 Establish
J1749
AURLUMYN 505(b)(2)

Injection, iloprost, 0.1 mcg

Eicos Sciences, Inc. Intravenous — Establish
J2001
Lidocaine Hcl For Intravenous Infusion

Injection, lidocaine hcl for intravenous infusion, 10 mg

— Intravenous — Discontinue
J2002
Lidocaine Hcl In 5% Dextrose

Injection, lidocaine hcl in 5% dextrose, 1 mg

— — Establish
J2003
Lidocaine Hydrochloride

Injection, lidocaine hydrochloride, 1 mg

— — Establish
J2004
Lidocaine Hcl With Epinephrine

injection, lidocaine hcl with epinephrine, 1 mg

— — Establish
J2251
Midazolam In 0.9% Sodium Chloride

Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to J2250, 1 mg

— — Revise
J2252
Midazolam In 0.8% Sodium Chloride 505(b)(2)

Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to J2250, 1 mg

— — Establish
J2253
Midazolam (Seizalam)

Injection, midazolam (seizalam), 1 mg

— — Establish
J2601
Baxter's Vasopressin in Sodium Chloride Injection 505(b)(2)

Injection, vasopressin (baxter), 1 unit

Baxter Healthcare Corporation Intravenous — Establish
J8520
Capecitabine

Capecitabine, oral, 150 mg

— Replaced byJ8522 Discontinue
J8521
Capecitabine

Capecitabine, oral, 500 mg

— Replaced byJ8522 Discontinue
J8522
Capecitabine

Capecitabine, oral, 50 mg

— ReplacesJ8520ReplacesJ8521 Establish
J8541
Dexamethasone (Hemady)

Dexamethasone (hemady), oral, 0.25 mg

— — Establish
J9172
DOCIVYX 505(b)(2)

Injection, docetaxel (docivyx), 1 mg

Avyxa Holdings, LLC — Revise
J9258
Paclitaxel Protein-Bound Particles for Injectable Suspension (albumin-bound) 505(b)(2)

Injection, paclitaxel protein-bound particles (teva) not therapeutically equivalent to j9264, 1 mg

— — Discontinue
J9329
TEVIMBRA

Injection, tislelizumab-jsgr, 1 mg

BeiGene USA, Inc. Intravenous — Establish
Q4334
AmnioPlast 1

Amnioplast 1, per square centimeter

— — Establish
Q4335
AmnioPlast 2

Amnioplast 2, per square centimeter

— — Establish
Q4336
Artacent C

Artacent c, per square centimeter

Tides Medical — Establish
Q4337
Artacent Trident

Artacent trident, per square centimeter

Tides Medical — Establish
Q4338
Artacent Velos

Artacent velos, per square centimeter

Tides Medical — Establish
Q4339
Artacent VeriClen

Artacent vericlen, per square centimeter

Tides Medical — Establish
Q4340
SimpliGraft

Simpligraft, per square centimeter

Xtant Medical — Establish
Q4341
SimpliMax

Simplimax, per square centimeter

Xtant Medical — Establish
Q4342
TheraMend

Theramend, per square centimeter

Lux Therapeutics — Establish
Q4343
Dermacyte AC Matrix Amniotic Membrane Allograft

Dermacyte ac matrix amniotic membrane allograft, per square centimeter

Merakris Therapeutics, Inc. — Establish
Q4344
Tri-Membrane Wrap

Tri-membrane wrap, per square centimeter

BioLab Topical — Establish
Q4345
Matrix HD Allograft Dermis

Matrix hd allograft dermis, per square centimeter

Royal Wound-X, Inc, RTI Surgical, Inc — Establish
Q5135
TYENNE Biosimilar

Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg

Fresenius Kabi Intravenous/Subcutaneous — Establish
Q5136
JUBBONTI/WYOST Biosimilar

Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg

Sandoz Inc. Subcutaneous — Establish

Source: CMS HCPCS application summaries, Second Quarter 2024 coding cycle (PDF) . Data current as of October 7, 2026.

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