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LIST OF CPT AND HCPCS CODES THAT REQUIRE NDC CODE Current Dental
Terminology (including procedure codes, nomenclature, descriptors and other data
contained therein) is copyright © 2015 American Dental Association. All rights
reserved. Applicable FARS/DFARS apply. Current Procedural Terminology (including
procedure codes, nomenclature, descriptors and other data contained therein) is
copyright © 2015 American Medical Association. The federal Deficit Reduction Act
of 2005 (signed in 2006) requires Medicaid providers to report the 11-digit National
Drug Code (NDC) on the CMS1500 and UB04 claim forms as well as on the 837
electronic transactions when billing for injections and other drug items administered
in outpatient offices, hospitals, and other clinical settings. The first column on this list
has the HCPCS codes that require an NDC for providers submitting outpatient
prospective payment system (OPPS) claims. The second column has the HCPCS codes
that require an NDC for all other providers, not the OPPS providers. While every
attempt has been made to assure this listing is accurate, in the event of error or
subsequent change, the pricing polices of the Medicaid Program will prevail rather
than this listing. Please note the end date of discontinued Procedure Codes during
the past 2 years.
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999S0148
12/31/9999S0155
12/31/9999S0156
12/31/9999S0157
12/31/9999S0160
12/31/9999S0164
12/31/9999S0166
12/31/9999S0169
12/31/9999S0170
12/31/9999S0171
12/31/9999S0172
Wednesday, March 09, 2016 Page 1 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999S0174
12/31/9999S0175
12/31/9999S0176
12/31/9999S0177
12/31/9999S0178
12/31/9999S0179
12/31/9999S0182
12/31/9999S0183
12/31/9999S0187
12/31/9999S0189
12/31/9999S0190
12/31/9999S0191
12/31/9999S0194
12/31/9999S0197
12/31/9999S4989
12/31/9999S4990
12/31/9999S4991
12/31/9999S4993
12/31/9999S4995
12/31/9999S5010
12/31/2015S5011
Wednesday, March 09, 2016 Page 2 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999S5012
12/31/9999S5013
12/31/9999S5014
12/31/9999S5550
12/31/999990281
12/31/999990283
12/31/999990284
12/31/999990287
12/31/999990288
12/31/999990291
12/31/999990296
12/31/99999037190371
12/31/99999037590375
12/31/99999037690376
12/31/99999037890378
12/31/999990384
12/31/999990386
12/31/999990389
12/31/999990393
12/31/99999039690396
12/31/999990399
Wednesday, March 09, 2016 Page 3 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999A4216A4216
12/31/9999A4218
12/31/9999A9150
12/31/9999A9152
12/31/9999A9153
12/31/2015C9025
12/31/2015C9026
12/31/2015C9027
3/31/2015C9136
12/31/9999C9399C9399
12/31/2015C9442
12/31/2015C9443
12/31/2015C9444
12/31/2015C9446
12/31/2015C9456
12/31/9999J0135J0135
12/31/2014J0150
12/31/2014J0151
12/31/9999J0153
12/31/9999J0171
12/31/9999J0178J0178
Wednesday, March 09, 2016 Page 4 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J0180J0180
12/31/9999J0190
12/31/9999J0200J0200
12/31/9999J0202J0202
12/31/9999J0205
12/31/9999J0207J0207
12/31/9999J0210J0210
12/31/9999J0220J0220
12/31/9999J0221J0221
12/31/9999J0256J0256
12/31/9999J0257J0257
12/31/9999J0270
12/31/9999J0275
12/31/9999J0278
12/31/9999J0280
12/31/9999J0282
12/31/9999J0285
12/31/9999J0287J0287
12/31/9999J0288J0288
12/31/9999J0289J0289
12/31/9999J0290
Wednesday, March 09, 2016 Page 5 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J0295
12/31/9999J0300J0300
12/31/9999J0330
12/31/9999J0348J0348
12/31/9999J0350
12/31/9999J0360
12/31/9999J0364
12/31/9999J0365J0365
12/31/9999J0380
12/31/9999J0390
12/31/9999J0395
12/31/9999J0400
12/31/9999J0401J0401
12/31/9999J0456
12/31/9999J0461
12/31/9999J0470
12/31/9999J0475J0475
12/31/9999J0476J0476
12/31/9999J0480J0480
12/31/9999J0485J0485
12/31/9999J0490J0490
Wednesday, March 09, 2016 Page 6 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J0500
12/31/9999J0515
12/31/9999J0520
12/31/9999J0558
12/31/9999J0561J0561
12/31/9999J0571
12/31/9999J0572
12/31/9999J0573
12/31/9999J0574
12/31/9999J0575
12/31/9999J0583J0583
12/31/9999J0585J0585
12/31/9999J0587J0587
12/31/9999J0588J0588
12/31/9999J0592
12/31/9999J0594J0594
12/31/9999J0595
12/31/9999J0596J0596
12/31/9999J0597J0597
12/31/9999J0598J0598
12/31/9999J0600J0600
Wednesday, March 09, 2016 Page 7 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J0610
12/31/9999J0620
12/31/9999J0630J0630
12/31/9999J0636
12/31/9999J0637J0637
12/31/9999J0638J0638
12/31/9999J0640
12/31/9999J0641J0641
12/31/9999J0670
12/31/9999J0690
12/31/9999J0692
12/31/9999J0694
12/31/9999J0695J0695
12/31/9999J0696
12/31/9999J0698
12/31/9999J0702
12/31/9999J0706
12/31/9999J0710
12/31/9999J0712J0712
12/31/9999J0713
12/31/9999J0714J0714
Wednesday, March 09, 2016 Page 8 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J0716J0716
12/31/9999J0717J0717
12/31/9999J0720J0720
12/31/9999J0725J0725
12/31/9999J0735
12/31/9999J0740J0740
12/31/9999J0743
12/31/9999J0744
12/31/9999J0745
12/31/9999J0760
12/31/9999J0770
12/31/9999J0775J0775
12/31/9999J0780
12/31/9999J0795J0795
12/31/9999J0800J0800
12/31/9999J0834
12/31/9999J0840J0840
12/31/9999J0850J0850
12/31/9999J0875J0875
12/31/9999J0878J0878
12/31/9999J0881J0881
Wednesday, March 09, 2016 Page 9 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J0882J0882
12/31/9999J0885J0885
12/31/2015J0886J0886
12/31/9999J0887J0887
12/31/9999J0888
12/31/9999J0890
12/31/9999J0897J0897
12/31/2014J0900
12/31/9999J0945
12/31/9999J1000
12/31/9999J1020
12/31/9999J1030
12/31/9999J1040
12/31/9999J1050
12/31/2014J1060
12/31/2014J1070
12/31/9999J1071
12/31/2014J1080
12/31/9999J1094
12/31/9999J1100
12/31/9999J1120
Wednesday, March 09, 2016 Page 10 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J1160J1160
12/31/9999J1162J1162
12/31/9999J1165
12/31/9999J1170
12/31/9999J1180
12/31/9999J1190J1190
12/31/9999J1200
12/31/9999J1205J1205
12/31/9999J1212J1212
12/31/9999J1230
12/31/9999J1240
12/31/9999J1245
12/31/9999J1250
12/31/9999J1260
12/31/9999J1265
12/31/9999J1267
12/31/9999J1270
12/31/9999J1290J1290
12/31/9999J1300J1300
12/31/9999J1320
12/31/9999J1322J1322
Wednesday, March 09, 2016 Page 11 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J1324J1324
12/31/9999J1325
12/31/9999J1327J1327
12/31/9999J1330J1330
12/31/9999J1335
12/31/9999J1364J1364
12/31/9999J1380
12/31/9999J1410J1410
12/31/9999J1430J1430
12/31/9999J1435
12/31/9999J1436
12/31/9999J1438J1438
12/31/9999J1439J1439
12/31/9999J1442J1442
12/31/9999J1443
12/31/2015J1446
12/31/9999J1447J1447
12/31/9999J1450
12/31/9999J1451J1451
12/31/9999J1452J1452
12/31/9999J1453J1453
Wednesday, March 09, 2016 Page 12 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J1455J1455
12/31/9999J1457
12/31/9999J1458J1458
12/31/9999J1459J1459
12/31/9999J1460J1460
12/31/9999J1556J1556
12/31/9999J1557J1557
12/31/9999J1559J1559
12/31/9999J1560J1560
12/31/9999J1561J1561
12/31/9999J1562
12/31/9999J1566J1566
12/31/9999J1568J1568
12/31/9999J1569J1569
12/31/9999J1570J1570
12/31/9999J1572J1572
12/31/9999J1573J1573
12/31/9999J1575J1575
12/31/9999J1580
12/31/9999J1590J1590
12/31/9999J1595J1595
Wednesday, March 09, 2016 Page 13 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J1599
12/31/9999J1600J1600
12/31/9999J1602J1602
12/31/9999J1610J1610
12/31/9999J1620
12/31/9999J1626
12/31/9999J1630
12/31/9999J1631
12/31/9999J1640J1640
12/31/9999J1642
12/31/9999J1644
12/31/9999J1645
12/31/9999J1650
12/31/9999J1652
12/31/9999J1655
12/31/9999J1670J1670
12/31/9999J1675
12/31/9999J1700
12/31/9999J1710
12/31/9999J1720
12/31/9999J1725J1725
Wednesday, March 09, 2016 Page 14 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J1740J1740
12/31/9999J1741
12/31/9999J1742J1742
12/31/9999J1743J1743
12/31/9999J1744J1744
12/31/9999J1745J1745
12/31/9999J1750J1750
12/31/9999J1756
12/31/9999J1786J1786
12/31/9999J1790
12/31/9999J1800
12/31/9999J1810
12/31/9999J1815
12/31/9999J1817
12/31/9999J1826
12/31/9999J1830J1830
12/31/9999J1833J1833
12/31/9999J1835
12/31/9999J1840
12/31/9999J1850
12/31/9999J1885
Wednesday, March 09, 2016 Page 15 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J1890
12/31/9999J1930J1930
12/31/9999J1931J1931
12/31/9999J1940
12/31/9999J1945J1945
12/31/9999J1950J1950
12/31/9999J1953
12/31/9999J1955
12/31/9999J1956
12/31/9999J1960
12/31/9999J1980
12/31/9999J1990
12/31/9999J2001
12/31/9999J2010
12/31/9999J2020J2020
12/31/9999J2060
12/31/9999J2150
12/31/9999J2170
12/31/9999J2175
12/31/9999J2180
12/31/9999J2185
Wednesday, March 09, 2016 Page 16 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J2210
12/31/9999J2212J2212
12/31/9999J2248J2248
12/31/9999J2250
12/31/9999J2260
12/31/9999J2265J2265
12/31/9999J2270
12/31/2014J2271
12/31/9999J2274
12/31/2014J2275
12/31/9999J2278J2278
12/31/9999J2280
12/31/9999J2300
12/31/9999J2310
12/31/9999J2315J2315
12/31/9999J2320J2320
12/31/9999J2323J2323
12/31/9999J2325J2325
12/31/9999J2353J2353
12/31/9999J2354
12/31/9999J2355J2355
Wednesday, March 09, 2016 Page 17 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J2357J2357
12/31/9999J2358J2358
12/31/9999J2360
12/31/9999J2370
12/31/9999J2400
12/31/9999J2405
12/31/9999J2407J2407
12/31/9999J2410
12/31/9999J2425J2425
12/31/9999J2426J2426
12/31/9999J2430
12/31/9999J2440
12/31/9999J2460
12/31/9999J2469J2469
12/31/9999J2501
12/31/9999J2502J2502
12/31/9999J2503J2503
12/31/9999J2504J2504
12/31/9999J2505J2505
12/31/9999J2507J2507
12/31/9999J2510J2510
Wednesday, March 09, 2016 Page 18 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J2513
12/31/9999J2515J2515
12/31/9999J2540
12/31/9999J2543
12/31/9999J2545
12/31/9999J2547J2547
12/31/9999J2550
12/31/9999J2560
12/31/9999J2562J2562
12/31/9999J2590
12/31/9999J2597J2597
12/31/9999J2650
12/31/9999J2670J2670
12/31/9999J2675
12/31/9999J2680
12/31/9999J2690
12/31/9999J2700J2700
12/31/9999J2704
12/31/9999J2710
12/31/9999J2720
12/31/9999J2724J2724
Wednesday, March 09, 2016 Page 19 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J2725
12/31/9999J2730J2730
12/31/9999J2765
12/31/9999J2770J2770
12/31/9999J2778J2778
12/31/9999J2780
12/31/9999J2783J2783
12/31/9999J2785J2785
12/31/9999J2788J2788
12/31/9999J2790J2790
12/31/9999J2791J2791
12/31/9999J2792J2792
12/31/9999J2793J2793
12/31/9999J2794J2794
12/31/9999J2795
12/31/9999J2796J2796
12/31/9999J2800J2800
12/31/9999J2805
12/31/9999J2810
12/31/9999J2820J2820
12/31/9999J2850J2850
Wednesday, March 09, 2016 Page 20 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J2860J2860
12/31/9999J2910
12/31/9999J2916
12/31/9999J2920
12/31/9999J2930
12/31/9999J2940
12/31/9999J2941J2941
12/31/9999J2950
12/31/9999J2993J2993
12/31/9999J2995
12/31/9999J2997J2997
12/31/9999J3000
12/31/9999J3010
12/31/9999J3030
12/31/9999J3060J3060
12/31/9999J3070J3070
12/31/9999J3090J3090
12/31/9999J3095J3095
12/31/9999J3101J3101
12/31/9999J3105
12/31/9999J3110
Wednesday, March 09, 2016 Page 21 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/2014J3120
12/31/9999J3121
12/31/2014J3130
12/31/2014J3140
12/31/9999J3145J3145
12/31/2014J3150
12/31/9999J3230
12/31/9999J3240J3240
12/31/9999J3243J3243
12/31/9999J3246J3246
12/31/9999J3250
12/31/9999J3260
12/31/9999J3262J3262
12/31/9999J3265
12/31/9999J3280
12/31/9999J3285J3285
12/31/9999J3300J3300
12/31/9999J3301
12/31/9999J3302
12/31/9999J3303
12/31/9999J3305
Wednesday, March 09, 2016 Page 22 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J3310
12/31/9999J3315J3315
12/31/9999J3320
12/31/9999J3350J3350
12/31/9999J3355J3355
12/31/9999J3357J3357
12/31/9999J3360
12/31/9999J3364
12/31/9999J3365J3365
12/31/9999J3370
12/31/9999J3380J3380
12/31/9999J3385J3385
12/31/9999J3396J3396
12/31/9999J3400
12/31/9999J3410
12/31/9999J3411
12/31/9999J3415
12/31/9999J3420
12/31/9999J3430
12/31/9999J3465J3465
12/31/9999J3470
Wednesday, March 09, 2016 Page 23 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J3471
12/31/9999J3472
12/31/9999J3473
12/31/9999J3475
12/31/9999J3480
12/31/9999J3485J3485
12/31/9999J3486
12/31/9999J3489J3489
12/31/9999J3490
12/31/9999J3520
12/31/9999J3530
12/31/9999J3535
12/31/9999J3590
12/31/9999J7030
12/31/9999J7040
12/31/9999J7042
12/31/9999J7050
12/31/9999J7060
12/31/9999J7070
12/31/9999J7100
12/31/9999J7110
Wednesday, March 09, 2016 Page 24 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J7120
12/31/9999J7121
12/31/9999J7131
12/31/9999J7178J7178
12/31/9999J7180J7180
12/31/9999J7181J7181
12/31/9999J7182
12/31/9999J7183J7183
12/31/9999J7185J7185
12/31/9999J7186J7186
12/31/9999J7187J7187
12/31/9999J7188J7188
12/31/9999J7189J7189
12/31/9999J7190J7190
12/31/9999J7191J7191
12/31/9999J7192J7192
12/31/9999J7193J7193
12/31/9999J7194J7194
12/31/9999J7195J7195
12/31/9999J7196J7196
12/31/9999J7197J7197
Wednesday, March 09, 2016 Page 25 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J7198J7198
12/31/9999J7199
12/31/9999J7200J7200
12/31/9999J7201J7201
12/31/9999J7205J7205
12/31/9999J7297J7297
12/31/9999J7298J7298
12/31/9999J7300J7300
12/31/9999J7301J7301
12/31/2015J7302J7302
12/31/9999J7303J7303
12/31/9999J7304J7304
12/31/9999J7306J7306
12/31/9999J7307J7307
12/31/9999J7308J7308
12/31/9999J7309J7309
12/31/9999J7310J7310
12/31/9999J7311J7311
12/31/9999J7312J7312
12/31/9999J7313J7313
12/31/9999J7315J7315
Wednesday, March 09, 2016 Page 26 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J7316J7316
12/31/9999J7321J7321
12/31/9999J7323J7323
12/31/9999J7324J7324
12/31/9999J7325J7325
12/31/9999J7326J7326
12/31/9999J7327J7327
12/31/9999J7330
12/31/2014J7335
12/31/9999J7336J7336
12/31/9999J7340J7340
12/31/9999J7500
12/31/9999J7501J7501
12/31/9999J7502
12/31/9999J7503
12/31/9999J7504J7504
12/31/9999J7505J7505
12/31/2015J7506
12/31/9999J7507
12/31/9999J7508J7508
12/31/9999J7509
Wednesday, March 09, 2016 Page 27 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J7510
12/31/9999J7511J7511
12/31/9999J7512
12/31/9999J7513J7513
12/31/9999J7515
12/31/9999J7516
12/31/9999J7517
12/31/9999J7518
12/31/9999J7520
12/31/9999J7525J7525
12/31/9999J7527J7527
12/31/9999J7599
12/31/9999J7604
12/31/9999J7605
12/31/9999J7606
12/31/9999J7607
12/31/9999J7608
12/31/9999J7609
12/31/9999J7610
12/31/9999J7611
12/31/9999J7612
Wednesday, March 09, 2016 Page 28 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J7613
12/31/9999J7614
12/31/9999J7615
12/31/9999J7620
12/31/9999J7622
12/31/9999J7624
12/31/9999J7626
12/31/9999J7627
12/31/9999J7628
12/31/9999J7629
12/31/9999J7631
12/31/9999J7632
12/31/9999J7633
12/31/9999J7634
12/31/9999J7635
12/31/9999J7636
12/31/9999J7637
12/31/9999J7638
12/31/9999J7640
12/31/9999J7641
12/31/9999J7642
Wednesday, March 09, 2016 Page 29 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J7643
12/31/9999J7644
12/31/9999J7645
12/31/9999J7647
12/31/9999J7648
12/31/9999J7649
12/31/9999J7650
12/31/9999J7657
12/31/9999J7658
12/31/9999J7659
12/31/9999J7660
12/31/9999J7665
12/31/9999J7667
12/31/9999J7668
12/31/9999J7669
12/31/9999J7670
12/31/9999J7674
12/31/9999J7676
12/31/9999J7680
12/31/9999J7681
12/31/9999J7682
Wednesday, March 09, 2016 Page 30 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J7683
12/31/9999J7684
12/31/9999J7685
12/31/9999J7686
12/31/9999J7699
12/31/9999J7799
12/31/9999J7999
12/31/9999J8498
12/31/9999J8499
12/31/9999J8501J8501
12/31/9999J8510J8510
12/31/9999J8515
12/31/9999J8520J8520
12/31/9999J8530
12/31/9999J8540
12/31/9999J8560J8560
12/31/9999J8562J8562
12/31/9999J8565
12/31/9999J8597
12/31/9999J8600
12/31/9999J8610
Wednesday, March 09, 2016 Page 31 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J8650J8650
12/31/9999J8655J8655
12/31/9999J8700J8700
12/31/9999J8705J8705
12/31/9999J8999
12/31/9999J9000
12/31/2015J9010
12/31/9999J9015J9015
12/31/9999J9017J9017
12/31/9999J9019J9019
12/31/9999J9020J9020
12/31/9999J9025J9025
12/31/9999J9027J9027
12/31/9999J9031J9031
12/31/9999J9032J9032
12/31/9999J9033J9033
12/31/9999J9035J9035
12/31/9999J9039J9039
12/31/9999J9040
12/31/9999J9041J9041
12/31/9999J9042J9042
Wednesday, March 09, 2016 Page 32 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J9043J9043
12/31/9999J9045
12/31/9999J9047J9047
12/31/9999J9050J9050
12/31/9999J9055J9055
12/31/9999J9060
12/31/9999J9065J9065
12/31/9999J9070J9070
12/31/9999J9098J9098
12/31/9999J9100
12/31/9999J9120J9120
12/31/9999J9130
12/31/9999J9150J9150
12/31/9999J9151J9151
12/31/9999J9155J9155
12/31/9999J9160
12/31/9999J9165
12/31/9999J9171J9171
12/31/9999J9175
12/31/9999J9178J9178
12/31/9999J9179J9179
Wednesday, March 09, 2016 Page 33 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J9181
12/31/9999J9185J9185
12/31/9999J9190
12/31/9999J9200J9200
12/31/9999J9201J9201
12/31/9999J9202J9202
12/31/9999J9206
12/31/9999J9207J9207
12/31/9999J9208J9208
12/31/9999J9209
12/31/9999J9211J9211
12/31/9999J9212J9212
12/31/9999J9213J9213
12/31/9999J9214J9214
12/31/9999J9215J9215
12/31/9999J9216J9216
12/31/9999J9217J9217
12/31/9999J9218J9218
12/31/9999J9219J9219
12/31/2014J9220
12/31/9999J9225J9225
Wednesday, March 09, 2016 Page 34 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J9226J9226
12/31/9999J9228J9228
12/31/9999J9230J9230
12/31/9999J9245J9245
12/31/9999J9250
12/31/9999J9260
12/31/9999J9261J9261
12/31/9999J9262J9262
12/31/9999J9263J9263
12/31/9999J9264J9264
12/31/2014J9265
12/31/9999J9266J9266
12/31/9999J9267
12/31/9999J9268J9268
12/31/9999J9270
12/31/9999J9271J9271
12/31/9999J9280J9280
12/31/9999J9293J9293
12/31/9999J9299J9299
12/31/9999J9300
12/31/9999J9301J9301
Wednesday, March 09, 2016 Page 35 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J9302J9302
12/31/9999J9303J9303
12/31/9999J9305J9305
12/31/9999J9306J9306
12/31/9999J9307J9307
12/31/9999J9308J9308
12/31/9999J9310J9310
12/31/9999J9315J9315
12/31/9999J9320J9320
12/31/9999J9328J9328
12/31/9999J9330J9330
12/31/9999J9340J9340
12/31/9999J9351J9351
12/31/9999J9354J9354
12/31/9999J9355J9355
12/31/9999J9357J9357
12/31/9999J9360
12/31/9999J9370
12/31/9999J9371J9371
12/31/9999J9390
12/31/9999J9395J9395
Wednesday, March 09, 2016 Page 36 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999J9400J9400
12/31/9999J9600J9600
12/31/9999J9999
12/31/9999P9023P9023
12/31/9999P9041P9041
12/31/9999Q0138Q0138
12/31/9999Q0139Q0139
12/31/9999Q0144
12/31/9999Q0162
12/31/9999Q0163
12/31/9999Q0164
12/31/9999Q0166
12/31/9999Q0167
12/31/9999Q0169
12/31/9999Q0173
12/31/9999Q0174
12/31/9999Q0175
12/31/9999Q0177
12/31/9999Q0180
12/31/9999Q0181
12/31/9999Q0515
Wednesday, March 09, 2016 Page 37 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999Q2004
12/31/9999Q2009
12/31/9999Q2017Q2017
12/31/9999Q2043Q2043
12/31/9999Q2050Q2050
12/31/9999Q3027Q3027
12/31/9999Q3028
12/31/9999Q5101Q5101
12/31/2014Q9970
12/31/2014Q9974
12/31/2015Q9977
12/31/2015Q9978
12/31/2015Q9979
12/31/9999S0012
12/31/9999S0014
12/31/9999S0017
12/31/9999S0020
12/31/9999S0021
12/31/9999S0023
12/31/9999S0028
12/31/9999S0030
Wednesday, March 09, 2016 Page 38 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999S0032
12/31/9999S0034
12/31/9999S0039
12/31/9999S0040
12/31/9999S0073
12/31/9999S0074
12/31/9999S0077
12/31/9999S0078
12/31/9999S0080
12/31/9999S0081
12/31/9999S0088
12/31/9999S0090
12/31/9999S0091
12/31/9999S0092
12/31/9999S0093
12/31/9999S0104
12/31/9999S0106
12/31/9999S0108
12/31/9999S0109
12/31/9999S0117
12/31/9999S0119
Wednesday, March 09, 2016 Page 39 of 40
CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE
Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital
12/31/9999S0122
12/31/9999S0126
12/31/9999S0128
12/31/9999S0132
12/31/9999S0136
12/31/9999S0137
12/31/9999S0138
12/31/9999S0139
12/31/9999S0140
12/31/9999S0142
12/31/2014S0144
12/31/9999S0145
Wednesday, March 09, 2016 Page 40 of 40