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• C9016

  Injection, triptorelin extended release, 3.75 mg

• C9021

  Injection, obinutuzumab, 10 mg

• C9022

  Injection, elosulfase alfa, 1mg

• C9023

  Injection, testosterone undecanoate, 1 mg

• C9024

  Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

• C9025

  Injection, ramucirumab, 5 mg

• C9026

  Injection, vedolizumab, 1 mg

• C9027

  Injection, pembrolizumab, 1 mg

• C9028

  Injection, inotuzumab ozogamicin, 0.1 mg

• C9029

  Injection, guselkumab, 1 mg

• C9030

  Injection, copanlisib, 1 mg

• C9031

  Lutetium lu 177, dotatate, therapeutic, 1 mci

• C9032

  Injection, voretigene neparvovec-rzyl, 1 billion vector genome

• C9033

  Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

• C9034

  Injection, dexamethasone 9%, intraocular, 1 mcg

• C9035

  Injection, aripiprazole lauroxil (aristada initio), 1 mg

• C9036

  Injection, patisiran, 0.1 mg

• C9037

  Injection, risperidone (perseris), 0.5 mg

• C9038

  Injection, mogamulizumab-kpkc, 1 mg

• C9039

  Injection, plazomicin, 5 mg

• C9040

  Injection, fremanezumab-vfrm, 1mg

• C9041

  Injection, coagulation factor xa (recombinant), inactivated (andexxa), 10 mg

• C9042

  Injection, bendamustine hcl (belrapzo), 1 mg

• C9043

  Injection, levoleucovorin, 1 mg

• C9044

  Injection, cemiplimab-rwlc, 1 mg

• C9045

  Injection, moxetumomab pasudotox-tdfk, 0.01 mg

• C9046

  Cocaine hydrochloride nasal solution (goprelto), 1 mg

• C9047

  Injection, caplacizumab-yhdp, 1 mg

• C9048

  Dexamethasone, lacrimal ophthalmic insert, 0.1 mg

• C9049

  Injection, tagraxofusp-erzs, 10 mcg

• C9050

  Injection, emapalumab-lzsg, 1 mg

• C9051

  Injection, omadacycline, 1 mg

• C9052

  Injection, ravulizumab-cwvz, 10 mg

• C9053

  Injection, crizanlizumab-tmca, 1 mg

• C9054

  Injection, lefamulin (xenleta), 1 mg

• C9055

  Injection, brexanolone, 1mg

• C9056

  Injection, givosiran, 0.5 mg

• C9057

  Injection, cetirizine hydrochloride, 1 mg

• C9058

  Injection, pegfilgrastim-bmez, biosimilar, (ziextenzo) 0.5 mg

• C9059

  Injection, meloxicam, 1 mg

• C9060

  Fluoroestradiol f18, diagnostic, 1 mci

• C9061

  Injection, teprotumumab-trbw, 10 mg

• C9062

  Injection, daratumumab 10 mg and hyaluronidase-fihj

• C9063

  Injection, eptinezumab-jjmr, 1 mg

• C9064

  Mitomycin pyelocalyceal instillation, 1 mg

• C9065

  Injection, romidepsin, non-lyophilized (e.g. liquid), 1mg

• C9066

  Injection, sacituzumab govitecan-hziy, 2.5 mg

• C9067

  Gallium ga-68, dotatoc, diagnostic, 0.01 mci

• C9068

  Copper cu-64, dotatate, diagnostic, 1 millicurie

• C9069

  Injection, belantamab mafodontin-blmf, 0.5 mg

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HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/3/2026

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