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Drugs, biologicals and vaccines without an ASP limit: HCPCS Level II codes

651 active HCPCS Level II codes from the October 2026 file fall in this category, defined by BETOS O1D, O1E, O1G and D1G. By code range: 281 Skin substitute codes (Q4101-Q4399 and A2001-A2050), 254 J codes without an ASP payment limit, 90 Q codes for services and supplies (non-drug), 12 Other Level II codes and a few from other ranges. BETOS codes in the HCPCS file: O1E (other drugs, 541); O1D (chemotherapy, 45); D1G (drugs administered through DME, 43); O1G (immunizations/vaccinations, 22). 308 carry a national Medicare amount in a 2026 fee schedule or OPPS addendum, and 33 have an indexed reference page.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); DMEPOS fee schedule: DME26-D (October 2026) (effective October 1, 2026); Clinical Laboratory Fee Schedule: 26CLABQ4 (CY2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and DMEPOS fee schedule and Clinical Laboratory Fee Schedule and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Most searched codes in this category

Monthly US Google searches for the bare code (Google Ads, measured October 9, 2026) show which codes in this category coders and billers look up most.

Drugs, biologicals and vaccines without an ASP limit: codes with the most Google searches
CodeShort descriptorMedicare amountSearches / month
J3490Drugs unclassified injection—2,400
J3590Unclassified biologics—880
G0008Admin influenza virus vac$47.84590
J2003Inj, lidocaine hcl, 1 mg—590
J8499Oral prescrip drug non chemo—590
C9399Unclassified drugs or biolog—390
J1050Medroxyprogesterone acetate—390
J7999Compounded drug, NOC—390
J9202Goserelin acetate implant—390
G0009Admin pneumococcal vaccine$47.84320

Codes in this category

33 codes in this category have an indexed reference page; the other 618 active codes follow as a list and keep their own pages for lookups. The Medicare amount is the national figure each code page leads with, and the range column links the HCPCS range hub the code also belongs to.

Drugs, biologicals and vaccines without an ASP limit: codes with an indexed reference page
CodeDescriptorMedicare amountBasisRange hub
C9399Unclassified drugs or biologicals—none in these filesC codes
G0008Administration of influenza virus vaccine$47.84OPPS rateG codes
G0009Administration of pneumococcal vaccine$47.84OPPS rateG codes
G0010Administration of hepatitis b vaccine$47.84OPPS rateG codes
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography$721.17OPPS rateG codes
J0330Injection, succinylcholine chloride, up to 20 mg—none in these filesJ codes without an ASP payment limit
J1050Injection, medroxyprogesterone acetate, 1 mg—none in these filesJ codes without an ASP payment limit
J1599Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg—none in these filesJ codes without an ASP payment limit
J1815Injection, insulin, per 5 units—none in these filesJ codes without an ASP payment limit
J2003Injection, lidocaine hydrochloride, 1 mg—none in these filesJ codes without an ASP payment limit
J2004Injection, lidocaine hcl with epinephrine, 1 mg—none in these filesJ codes without an ASP payment limit
J2787Riboflavin 5'-phosphate, ophthalmic solution (photrexa viscous/photrexa), up to 3 ml—none in these filesJ codes without an ASP payment limit
J3490Unclassified drugs—none in these filesJ codes without an ASP payment limit
J3590Unclassified biologics—none in these filesJ codes without an ASP payment limit
J7799Noc drugs, other than inhalation drugs, administered through dme—none in these filesJ codes without an ASP payment limit
J7999Compounded drug, not otherwise classified—none in these filesJ codes without an ASP payment limit
J8499Prescription drug, oral, non chemotherapeutic, nos—none in these filesJ codes without an ASP payment limit
J9202Goserelin acetate implant, per 3.6 mg—none in these filesJ codes without an ASP payment limit
J9218Leuprolide acetate, per 1 mg—none in these filesJ codes without an ASP payment limit
J9999Not otherwise classified, antineoplastic drugs—none in these filesJ codes without an ASP payment limit
M0201Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home$36.85OPPS rateOther Level II codes
M0224Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring$450.50OPPS rateOther Level II codes
Q0163Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen—none in these filesQ codes for services and supplies (non-drug)
Q2035Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)—none in these filesQ codes for services and supplies (non-drug)
Q4101Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)$127.26PFS non-facilitySkin substitute codes (Q4101-Q4399 and A2001-A2050)
Q4133Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)$127.26PFS non-facilitySkin substitute codes (Q4101-Q4399 and A2001-A2050)
Q4158Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)$127.26PFS non-facilitySkin substitute codes (Q4101-Q4399 and A2001-A2050)
Q4159Affinity, per square centimeter (add-on, list separately in addition to primary procedure)$127.26PFS non-facilitySkin substitute codes (Q4101-Q4399 and A2001-A2050)
Q4186Epifix, per square centimeter (add-on, list separately in addition to primary procedure)$127.26PFS non-facilitySkin substitute codes (Q4101-Q4399 and A2001-A2050)
Q4191Restorigin, per square centimeter (add-on, list separately in addition to primary procedure)$127.26PFS non-facilitySkin substitute codes (Q4101-Q4399 and A2001-A2050)
Q4206Fluid flow or fluid gf, 1 cc—none in these filesSkin substitute codes (Q4101-Q4399 and A2001-A2050)
Q4221Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure)$127.26PFS non-facilitySkin substitute codes (Q4101-Q4399 and A2001-A2050)
Q4250Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure)$127.26PFS non-facilitySkin substitute codes (Q4101-Q4399 and A2001-A2050)
Show the other 618 codes (pages not in search results)
  • A4218 Sterile saline or water
  • A9150 Misc/exper non-prescript dru
  • C9143 Cocaine hcl nasal (numbrino)
  • C9144 Inj, bupivacaine (posimir)
  • C9254 Injection, lacosamide
  • C9285 Patch, lidocaine/tetracaine
  • C9482 Sotalol hydrochloride iv
  • C9488 Conivaptan hcl
  • G0259 Inject for sacroiliac joint
  • J0013 Esketamine, nasal spray
  • J0120 Tetracyclin injection
  • J0130 Abciximab injection
  • J0139 Inj, adalimumab, 1 mg
  • J0184 Inj, amisulpride, 1 mg
  • J0207 Amifostine
  • J0209 Inj, sod thiosulfate (hope)
  • J0210 Methyldopate hcl injection
  • J0211 Inj, nithiodote, 3mg / 125mg
  • J0216 Inj, alfentanil hcl, 500mcg
  • J0220 Alglucosidase alfa injection
  • J0270 Alprostadil for injection
  • J0275 Alprostadil urethral suppos
  • J0287 Amphotericin b lipid complex
  • J0300 Amobarbital 125 mg inj
  • J0364 Apomorphine hydrochloride
  • J0390 Chloroquine injection
  • J0400 Aripiprazole injection
  • J0470 Dimecaprol injection
  • J0520 Bethanechol chloride inject
  • J0525 Inj cefotetan disodium 10 mg
  • J0565 Inj, bezlotoxumab, 10 mg
  • J0570 Buprenorphine implant 74.2mg
  • J0571 Buprenorphine oral 1mg
  • J0572 Bupren/nal up to 3mg bupreno
  • J0573 Bupren/nal 3.1 to 6mg bupren
  • J0574 Bupren/nal 6.1 to 10mg bupre
  • J0575 Bupren/nal over 10mg bupreno
  • J0591 Inj deoxycholic acid, 1 mg
  • J0599 Inj., haegarda 10 units
  • J0601 Sevelamer carbonate 20 mg
  • J0602 Sevelamer carbonate pdr 20mg
  • J0603 Sevelamer hydrochloride 20mg
  • J0604 Cinacalcet, ESRD on dialysis
  • J0605 Sucroferric oxyhydroxide 5mg
  • J0607 Lanthanum carbonate oral 5mg
  • J0608 Lanthanum carbonate pwdr 5mg
  • J0609 Ferric citrate orl 3 mg iron
  • J0615 Calcium acetate, oral, 23 mg
  • J0618 Inj, calcium chloride, 2 mg
  • J0620 Calcium glycer & lact/10 ml
  • J0630 Calcitonin salmon injection
  • J0636 Inj calcitriol per 0.1 mcg
  • J0668 Instill, bupivac and meloxic
  • J0691 Inj lefamulin 1 mg
  • J0698 Cefotaxime sodium injection
  • J0706 Caffeine citrate injection
  • J0720 Chloramphenicol sodium injec
  • J0745 Inj codeine phosphate /30 mg
  • J0799 HIV prep, FDA approved, NOC
  • J0879 Difelikefalin, ESRD on dialy
  • J0890 Peginesatide injection
  • J0891 Argatroban nonesrd (accord)
  • J0892 Argatroban dialysis (accord)
  • J0893 Inj, decitabine (sun pharma)
  • J0945 Brompheniramine maleate inj
  • J1095 Injection, dexamethasone 9%
  • J1097 Phenylep ketorolac opth soln
  • J1098 Articaine ophthalmi 8% 0.4ml
  • J1105 Dexmedetomidine film, 1 mcg
  • J1130 Inj diclofenac sodium 0.5mg
  • J1180 Dyphylline injection
  • J1202 Miglustat oral 65 mg
  • J1260 Dolasetron mesylate
  • J1320 Amitriptyline injection
  • J1324 Enfuvirtide injection
  • J1370 Inj, esomeprazole sod, 1 mg
  • J1414 Inj, beqvez, per tx dose
  • J1427 Inj. viltolarsen
  • J1429 Inj golodirsen 10 mg
  • J1435 Injection estrone per 1 mg
  • J1436 Etidronate disodium inj
  • J1438 Etanercept injection
  • J1574 Inj, ganciclovir (exela)
  • J1595 Injection glatiramer acetate
  • J1600 Gold sodium thiomaleate inj
  • J1632 Inj., brexanolone, 1 mg
  • J1675 Histrelin acetate
  • J1700 Hydrocortisone acetate inj
  • J1726 Makena, 10 mg
  • J1729 Inj hydroxyprogst capoat NOS
  • J1730 Diazoxide injection
  • J1736 Inj meloxicam (delova) 1mg
  • J1738 Inj. meloxicam 1 mg
  • J1744 Icatibant injection
  • J1748 Inj, zymfentra, 10 mg
  • J1800 Propranolol injection
  • J1812 Inj. insulin (fiasp)
  • J1814 Inj. insulin (lyumjev)
  • J1826 Interferon beta-1a inj
  • J1830 Interferon beta-1b / .25 mg
  • J1835 Itraconazole injection
  • J1946 Inj, furose lasix onyu, 1 mg
  • J1947 Inj, furoscix, 1 mg
  • J1960 Levorphanol tartrate inj
  • J1980 Hyoscyamine sulfate inj
  • J1990 Chlordiazepoxide injection
  • J2062 Loxapine for inhalation 1 mg
  • J2170 Mecasermin injection
  • J2180 Meperidine/promethazine inj
  • J2212 Methylnaltrexone injection
  • J2249 Inj, remimazolam, 1 mg
  • J2252 Inj midazolam in 0.8% nacl
  • J2253 Inj midazolam (seizalam)
  • J2313 Inj, naloxone (zimhi) 0.01mg
  • J2320 Nandrolone decanoate 50 mg
  • J2325 Nesiritide injection
  • J2355 Oprelvekin injection
  • J2402 Chloroprocaine (clorotekal)
  • J2410 Oxymorphone hcl injection
  • J2440 Papaverin hcl injection
  • J2460 Oxytetracycline injection
  • J2470 Inj pantoprazole sodium 40mg
  • J2471 Inj pantoprazole(hikma) 40mg
  • J2472 Inj, pantoprazole sodium chl
  • J2510 Penicillin g procaine inj
  • J2590 Oxytocin injection
  • J2650 Prednisolone acetate inj
  • J2670 Totazoline hcl injection
  • J2710 Neostigmine methylslfte inj
  • J2711 Inj neostigmin/glycopyrrolat
  • J2725 Inj protirelin per 250 mcg
  • J2730 Pralidoxime chloride inj
  • J2770 Quinupristin/dalfopristin
  • J2793 Rilonacept injection
  • J2797 Inj., rolapitant, 0.5 mg
  • J2810 Inj theophylline per 40 mg
  • J2941 Somatropin injection
  • J2950 Promazine hcl injection
  • J2993 Reteplase injection
  • J3030 Sumatriptan succinate / 6 mg
  • J3031 Inj., fremanezumab-vfrm 1 mg
  • J3070 Pentazocine injection
  • J3110 Teriparatide injection
  • J3244 Inj. tigecycline (accord)
  • J3265 Injection torsemide 10 mg/ml
  • J3290 Inj, tranexamic acid 5 mg
  • J3291 Tranexamic acid in sod chlor
  • J3302 Triamcinolone diacetate inj
  • J3303 Triamcinolone hexacetonl inj
  • J3350 Urea injection
  • J3357 Ustekinumab sub cu inj, 1 mg
  • J3386 Etuvetidigene autotemecel
  • J3471 Ovine, up to 999 usp units
  • J3472 Ovine, 1000 usp units
  • J3520 Edetate disodium per 150 mg
  • J3530 Nasal vaccine inhalation
  • J3535 Metered dose inhaler drug
  • J3570 Laetrile amygdalin vit b17
  • J3591 ESRD on dialysi drug/bio NOC
  • J7100 Dextran 40 infusion
  • J7110 Dextran 75 infusion
  • J7121 5% dextrose in lac ringers
  • J7131 Hypertonic saline sol
  • J7176 Inj. fesilty, 1 mg
  • J7196 Antithrombin recombinant
  • J7199 Hemophilia clot factor NOC
  • J7314 Inj., yutiq, 0.01 mg
  • J7315 Ophthalmic mitomycin
  • J7316 Inj, ocriplasmin, 0.125 mg
  • J7330 Cultured chondrocytes implnt
  • J7342 Ciprofloxacin otic susp 6 mg
  • J7353 Anacaulase-bcdb 8.8% gel 1 g
  • J7531 Pred sod pho ora dis ta 1 mg
  • J7599 Immunosuppressive drug NOC
  • J7604 Acetylcysteine comp unit
  • J7607 Levalbuterol comp con
  • J7609 Albuterol comp unit
  • J7610 Albuterol comp con
  • J7615 Levalbuterol comp unit
  • J7622 Beclomethasone comp unit
  • J7624 Betamethasone comp unit
  • J7627 Budesonide comp unit
  • J7628 Bitolterol mesylate comp con
  • J7629 Bitolterol mesylate comp unt
  • J7632 Cromolyn sodium comp unit
  • J7633 Budesonide non-comp con
  • J7634 Budesonide comp con
  • J7635 Atropine comp con
  • J7636 Atropine comp unit
  • J7637 Dexamethasone comp con
  • J7638 Dexamethasone comp unit
  • J7640 Formoterol comp unit
  • J7641 Flunisolide comp unit
  • J7642 Glycopyrrolate comp con
  • J7643 Glycopyrrolate comp unit
  • J7645 Ipratropium bromide comp
  • J7647 Isoetharine comp con
  • J7648 Isoetharine non-comp con
  • J7649 Isoetharine non-comp unit
  • J7650 Isoetharine comp unit
  • J7657 Isoproterenol comp con
  • J7658 Isoproterenol non-comp con
  • J7659 Isoproterenol non-comp unit
  • J7660 Isoproterenol comp unit
  • J7665 Mannitol for inhaler
  • J7667 Metaproterenol comp con
  • J7668 Metaproterenol non-comp con
  • J7669 Metaproterenol non-comp unit
  • J7670 Metaproterenol comp unit
  • J7676 Pentamidine comp unit dose
  • J7680 Terbutaline sulf comp con
  • J7681 Terbutaline sulf comp unit
  • J7683 Triamcinolone comp con
  • J7684 Triamcinolone comp unit
  • J7685 Tobramycin comp unit
  • J7699 Inhalation solution for DME
  • J8498 Antiemetic rectal/supp NOS
  • J8565 Gefitinib oral
  • J8597 Antiemetic drug oral NOS
  • J8600 Melphalan oral 2 mg
  • J8670 Rolapitant, oral, 1mg
  • J8999 Oral prescription drug chemo
  • J9003 Leupro inj, camcevi etm, 1mg
  • J9051 Inj, bortezomib (maia)
  • J9052 Inj, carmustine (accord)
  • J9057 Inj., copanlisib, 1 mg
  • J9064 Inj, cabazitaxel (sandoz)
  • J9066 Inj bendamustine, avyxa 1mg
  • J9175 Elliotts b solution per ml
  • J9196 Inj gemcitabine hcl (accord)
  • J9198 Inj. infugem, 100 mg
  • J9213 Interferon alfa-2a inj
  • J9214 Interferon alfa-2b inj
  • J9215 Interferon alfa-n3 inj
  • J9216 Interferon gamma 1-b inj
  • J9219 Leuprolide acetate implant
  • J9225 Vantas implant
  • J9230 Mechlorethamine hcl inj
  • J9255 Inj, methotrexate (accord)
  • J9262 Inj, omacetaxine mep, 0.01mg
  • J9285 Inj, olaratumab, 10 mg
  • J9296 Inj pemetrexed (accord) 10mg
  • J9302 Ofatumumab injection
  • J9313 Inj., lumoxiti, 0.01 mg
  • J9320 Streptozocin injection
  • J9323 Inj pemetrexed ditromethamin
  • J9394 Inj, fulvestrant (fresenius)
  • J9600 Porfimer sodium injection
  • M0231 Inf tocilizumab-bavi 1st dos
  • M0232 Inf tocilizumab-bavi 2nd dos
  • M0233 Intra inf, toci, first dose
  • M0234 Intra inf, toci, second dos
  • M0235 Intrav inf, mon anti, fir do
  • M0236 Intrav inf, mon anti, sec do
  • M0237 Intrav inf, toci, first dose
  • M0238 Intrav inf, toci, second dos
  • M0249 Adm tocilizu COVID-19 1st
  • M0250 Adm tocilizu COVID-19 2nd
  • Q0083 Chemo by other than infusion
  • Q0084 Chemotherapy by infusion
  • Q0085 Chemo by both infusion and o
  • Q0144 Azithromycin dihydrate, oral
  • Q0155 Dronabinol (syndros) 0.1 mg
  • Q0161 Chlorpromazine hcl 5mg oral
  • Q0164 Prochlorperazine maleate 5mg
  • Q0169 Promethazine hcl 12.5mg oral
  • Q0173 Trimethobenzamide hcl 250mg
  • Q0175 Perphenazine 4mg oral
  • Q0177 Hydroxyzine pamoate 25mg
  • Q0180 Dolasetron mesylate oral
  • Q0181 Unspecified oral anti-emetic
  • Q0235 Inj, monoclon antibody, 1 mg
  • Q0510 Dispens fee immunosupressive
  • Q0511 Sup fee antiem,antica,immuno
  • Q0512 Px sup fee anti-can sub pres
  • Q0513 Disp fee inhal drugs/30 days
  • Q0514 Disp fee inhal drugs/90 days
  • Q0515 Sermorelin acetate injection
  • Q0521 Supply fee HIV prep FDA appr
  • Q2004 Bladder calculi irrig sol
  • Q2034 Agriflu vaccine
  • Q2036 Flulaval vacc, 3 yrs & >, im
  • Q2037 Fluvirin vacc, 3 yrs & >, im
  • Q2038 Fluzone vacc, 3 yrs & >, im
  • Q2039 Influenza virus vaccine, NOS
  • Q2052 Home ivig, services/supplies
  • Q3027 Inj beta interferon im 1 mcg
  • Q3028 Inj beta interferon sq 1 mcg
  • Q4074 Iloprost non-comp unit dose
  • Q4102 Oasis wound matrix
  • Q4103 Oasis burn matrix
  • Q4104 Integra bmwd
  • Q4105 Integra drt or omnigraft
  • Q4107 Graftjacket
  • Q4108 Integra matrix
  • Q4110 Primatrix
  • Q4111 Gammagraft
  • Q4112 Cymetra injectable
  • Q4113 Graftjacket xpress
  • Q4114 Integra flowable wound matri
  • Q4115 Alloskin
  • Q4116 Alloderm
  • Q4117 Hyalomatrix
  • Q4118 Matristem micromatrix
  • Q4121 Theraskin
  • Q4122 Dermacell, awm, porous sq cm
  • Q4123 Alloskin
  • Q4124 Oasis tri-layer wound matrix
  • Q4125 Arthroflex
  • Q4126 Memoderm/derma/tranz/integup
  • Q4127 Talymed
  • Q4128 Flexhd/allopatchhd/sq cm
  • Q4130 Strattice tm
  • Q4132 Grafix core, grafixpl core
  • Q4134 Hmatrix
  • Q4135 Mediskin
  • Q4136 Ezderm
  • Q4137 Amnioexcel biodexcel 1sq cm
  • Q4138 Biodfence dryflex, 1cm
  • Q4139 Amnio or biodmatrix, inj 1cc
  • Q4140 Biodfence 1cm
  • Q4141 Alloskin ac, 1 cm
  • Q4142 Xcm biologic tiss matrix 1cm
  • Q4143 Repriza, 1cm
  • Q4145 Epifix, inj, 1mg
  • Q4146 Tensix, 1cm
  • Q4147 Architect ecm px fx 1 sq cm
  • Q4148 Neox neox rt or clarix cord
  • Q4149 Excellagen, 0.1 cc
  • Q4150 Allowrap ds or dry 1 sq cm
  • Q4151 Amnioband, guardian 1 sq cm
  • Q4152 Dermapure 1 square cm
  • Q4153 Dermavest, plurivest sq cm
  • Q4154 Biovance 1 square cm
  • Q4155 Neoxflo or clarixflo 1 mg
  • Q4156 Neox 100 or clarix 100
  • Q4157 Revitalon 1 square cm
  • Q4160 Nushield 1 square cm
  • Q4161 Bio-connekt per square cm
  • Q4162 Wndex flw, bioskn flw, 0.5cc
  • Q4163 Woundex, bioskin, per sq cm
  • Q4164 Helicoll, per square cm
  • Q4165 Keramatrix, kerasorb sq cm
  • Q4166 Cytal, per square centimeter
  • Q4167 Truskin, per sq centimeter
  • Q4168 Amnioband, 1 mg
  • Q4169 Artacent wound, per sq cm
  • Q4170 Cygnus, per sq cm
  • Q4171 Interfyl, 1 mg
  • Q4173 Palingen or palingen xplus
  • Q4174 Palingen or promatrx
  • Q4175 Miroderm
  • Q4176 Neopatch or therion, 1 sq cm
  • Q4177 Floweramnioflo, 0.1 cc
  • Q4178 Floweramniopatch, per sq cm
  • Q4179 Flowerderm, per sq cm
  • Q4180 Revita, per sq cm
  • Q4181 Amnio wound, per square cm
  • Q4182 Transcyte, per sq centimeter
  • Q4183 Surgigraft, 1 sq cm
  • Q4184 Cellesta or duo per sq cm
  • Q4185 Cellesta flowab amnion 0.5cc
  • Q4187 Epicord 1 sq cm
  • Q4188 Amnioarmor 1 sq cm
  • Q4189 Artacent ac, 1 mg
  • Q4190 Artacent ac 1 sq cm
  • Q4192 Restorigin, 1 cc
  • Q4193 Coll-e-derm 1 sq cm
  • Q4194 Novachor 1 sq cm
  • Q4195 Puraply 1 sq cm
  • Q4196 Puraply am 1 sq cm
  • Q4197 Puraply xt 1 sq cm
  • Q4198 Genesis amnio membrane 1sqcm
  • Q4199 Cygnus matrix, per sq cm
  • Q4200 Skin te 1 sq cm
  • Q4201 Matrion 1 sq cm
  • Q4202 Keroxx (2.5g/cc), 1cc
  • Q4203 Derma-gide, 1 sq cm
  • Q4204 Xwrap 1 sq cm
  • Q4205 Membrane graft or wrap sq cm
  • Q4208 Novafix per sq cm
  • Q4209 Surgraft per sq cm
  • Q4211 Amnion bio or axobio sq cm
  • Q4212 Allogen, per cc
  • Q4213 Ascent, 0.5 mg
  • Q4214 Cellesta cord per sq cm
  • Q4215 Axolotl ambient, cryo 0.1 mg
  • Q4216 Artacent cord per sq cm
  • Q4217 Woundfix biowound plus xplus
  • Q4218 Surgicord per sq cm
  • Q4219 Surgigraft dual per sq cm
  • Q4220 Bellacell hd, surederm sq cm
  • Q4222 Progenamatrix, per sq cm
  • Q4224 Hhf10-p per sq cm
  • Q4225 Amnio or derma tl, per sq cm
  • Q4226 Myown harv prep proc sq cm
  • Q4227 Amniocore per sq cm
  • Q4229 Cogenex amnio memb per sq cm
  • Q4230 Cogenex flow amnion 0.5 cc
  • Q4232 Corplex, per sq cm
  • Q4233 Surfactor /nudyn per 0.5 cc
  • Q4234 Xcellerate, per sq cm
  • Q4235 Amniorepair or altiply sq cm
  • Q4236 Carepatch per sq cm
  • Q4237 Cryo-cord, per sq cm
  • Q4238 Derm-maxx, per sq cm
  • Q4239 Amnio-maxx or lite per sq cm
  • Q4240 Corecyte topical only 0.5 cc
  • Q4241 Polycyte, topical only 0.5cc
  • Q4242 Amniocyte plus, per 0.5 cc
  • Q4245 Amniotext, per cc
  • Q4246 Coretext or protext, per cc
  • Q4247 Amniotext patch, per sq cm
  • Q4248 Dermacyte amn mem allo sq cm
  • Q4249 Amniply, per sq cm
  • Q4251 Vim, per square centimeter
  • Q4252 Vendaje, per square centimet
  • Q4253 Zenith amniotic membrane psc
  • Q4254 Novafix dl per sq cm
  • Q4255 Reguard, topical use per sq
  • Q4256 Mlg complet, per sq cm
  • Q4257 Relese, per sq cm
  • Q4258 Enverse, per sq cm
  • Q4259 Celera per sq cm
  • Q4260 Signature apatch, per sq cm
  • Q4261 Tag, per square centimeter
  • Q4262 Dual layer impax, per sq cm
  • Q4263 Surgraft tl, per sq cm
  • Q4264 Cocoon membrane, per sq cm
  • Q4265 Neostim tl per sq cm
  • Q4266 Neostim per sq cm
  • Q4267 Neostim dl per sq cm
  • Q4268 Surgraft ft per sq cm
  • Q4269 Surgraft xt per sq cm
  • Q4270 Complete sl per sq cm
  • Q4271 Complete ft per sq cm
  • Q4272 Esano a, per sq cm
  • Q4273 Esano aaa, per sq cm
  • Q4274 Esano ac, per sq cm
  • Q4275 Esano aca, per sq cm
  • Q4276 Orion, per sq cm
  • Q4278 Epieffect, per sq cm
  • Q4279 Vendaje ac, per sq cm
  • Q4280 Xcell amnio matrix per sq cm
  • Q4281 Barrera slor dl per sq cm
  • Q4282 Cygnus dual per sq cm
  • Q4283 Biovance tri or 3l, sq cm
  • Q4284 Dermabind sl, per sq cm
  • Q4285 Nudyn dl or dl mesh pr sq cm
  • Q4286 Nudyn sl or slw, per sq cm
  • Q4287 Dermabind dl, per sq cm
  • Q4288 Dermabind ch, per sq cm
  • Q4289 Revoshield+ amnio, per sq cm
  • Q4290 Membrane wrap hydr per sq cm
  • Q4291 Lamellas xt, per sq cm
  • Q4292 Lamellas, per sq cm
  • Q4293 Acesso dl, per sq cm
  • Q4294 Amnio quad-core, per sq cm
  • Q4295 Amnio tri-core, per sq cm
  • Q4296 Rebound matrix, per sq cm
  • Q4297 Emerge matrix, per sq cm
  • Q4298 Amniocore pro, per sq cm
  • Q4299 Amniocore pro+, per sq cm
  • Q4300 Acesso tl, per sq cm
  • Q4301 Activate matrix, per sq cm
  • Q4302 Complete aca, per sq cm
  • Q4303 Complete aa, per sq cm
  • Q4304 Grafix plus, per sq cm
  • Q4305 Amer am ac tri-lay per sq cm
  • Q4306 Americ amnion ac per sq cm
  • Q4307 American amnion, per sq cm
  • Q4308 Sanopellis, per sq cm
  • Q4309 Via matrix, per sq cm
  • Q4310 Procenta, per 100 mg
  • Q4311 Acesso, per sq cm
  • Q4312 Acesso ac, per sq cm
  • Q4313 Dermabind fm, per sq cm
  • Q4314 Reeva, per sq cm
  • Q4315 Regenelink amniotic mem allo
  • Q4316 Amchoplast, per sq cm
  • Q4317 Vitograft, per sq cm
  • Q4318 E-graft, per sq cm
  • Q4319 Sanograft, per sq cm
  • Q4320 Pellograft, per sq cm
  • Q4321 Renograft, per sq cm
  • Q4322 Caregraft, per sq cm
  • Q4323 Alloply, per sq cm
  • Q4324 Amniotx, per sq cm
  • Q4325 Acapatch, per sq cm
  • Q4326 Woundplus, per sq cm
  • Q4327 Duoamnion, per sq cm
  • Q4328 Most, per sq cm
  • Q4329 Singlay, per sq cm
  • Q4330 Total, per sq cm
  • Q4331 Axolotl graft, per sq cm
  • Q4332 Axolotl dualgraft, per sq cm
  • Q4333 Ardeograft, per sq cm
  • Q4334 Amnioplast 1, per sq cm
  • Q4335 Amnioplast 2, per sq cm
  • Q4336 Artecent c, per sq cm
  • Q4337 Artecent trident, per sq cm
  • Q4338 Artacent velos, per sq cm
  • Q4339 Artacent vericlen, per sq cm
  • Q4340 Simpligraft, per sq cm
  • Q4341 Simplimax, per sq cm
  • Q4342 Theramend, per sq cm
  • Q4343 Dermacyte ac matrx per sq cm
  • Q4344 Tri membrane wrap, per sq cm
  • Q4345 Matrix hd allogrft per sq cm
  • Q4346 Shelter dm matrix per sq cm
  • Q4347 Rampart dl matrix per sq cm
  • Q4348 Sentry sl matrix per sq cm
  • Q4349 Mantle dl matrix per sq cm
  • Q4350 Palisade dm matrix per sq cm
  • Q4351 Enclose tl matrix, per sq cm
  • Q4352 Overlay sl matrix, per sq cm
  • Q4353 Xceed tl matrix per sq cm
  • Q4354 Palingen dl-palingen dl-x
  • Q4355 Abio xpl abio xpl hy p sq cm
  • Q4356 Abio mem abio hyd per sq cm
  • Q4357 Xwrap plus, per sq cm
  • Q4358 Xwrap dual, per sq cm
  • Q4359 Choriply, per sq cm
  • Q4360 Amchoplast fd per sq cm
  • Q4361 Epixpress, per sq cm
  • Q4362 Cygnus disk, per sq cm
  • Q4363 Am bur mem hydro per sq cm
  • Q4364 Am bur xp mem xpl hy p sq cm
  • Q4365 Amnio bur dl mem per sq cm
  • Q4366 Dl amnio bur x-mem per sq cm
  • Q4367 Amniocore sl, per sq cm
  • Q4368 Amchothick per sq cm
  • Q4369 Amnioplast 3 per sq cm
  • Q4370 Aeroguard per sq cm
  • Q4371 Neoguard per sq cm
  • Q4372 Amchoplast excl per sq cm
  • Q4373 Membrane wrp lt per sq cm
  • Q4375 Duograft ac per sq cm
  • Q4376 Duograft aa per sq cm
  • Q4377 Trigraft ft per sq cm
  • Q4378 Renew ft matrix per sq cm
  • Q4379 Amniodefend ft per sq cm
  • Q4380 Advograft one per sq cm
  • Q4382 Advograft dual per sq cm
  • Q4383 Axolotl graft ult per sq cm
  • Q4384 Axolotl dual ult per sq cm
  • Q4385 Apollo ft per sq cm
  • Q4386 Acesso trifaca per sq cm
  • Q4387 Neothelium ft per sq cm
  • Q4388 Neothelium 4l per sq cm
  • Q4389 Neothelium 4l+ per sq cm
  • Q4390 Ascendion per sq cm
  • Q4391 Amnioplast double per sq cm
  • Q4392 Grafix duo per sq cm
  • Q4393 Surgraft ac per sq cm
  • Q4394 Surgraft aca per sq cm
  • Q4395 Acelagraft per sq cm
  • Q4396 Natalin per sq cm
  • Q4397 Summit aaa per sq cm
  • Q4398 Summit ac per sq cm
  • Q4399 Summit fx per sq cm
  • Q4400 Polygon3 per sq cm
  • Q4401 Absolv3 per sq cm
  • Q4402 Xwrap 2.0 per sq cm
  • Q4403 Xwrap dual plus per sq cm
  • Q4404 Xwrap hydro plus per sq cm
  • Q4405 Xwrap fenestra plus sq cm
  • Q4406 Xwrap fenestra per sq cm
  • Q4407 Xwrap tribus per sq cm
  • Q4408 Xwrap hydro per sq cm
  • Q4409 Amniomatrixf3x per sq cm
  • Q4410 Amchomatrixdl per sq cm
  • Q4411 Amniomatrixf4x per sq cm
  • Q4412 Choriofix per sq cm
  • Q4413 Cygnus solo per sq cm
  • Q4414 Simplichor per sq cm
  • Q4415 Alexiguard st-l per sq cm
  • Q4416 Alexiguard tl-t per sq cm
  • Q4417 Alexiguard dl-t per sq cm
  • Q4418 Biolab wrap flow per sq cm
  • Q4419 Biolab wrap flw lt per sq cm
  • Q4420 Nuform per sq cm
  • Q4421 Biolab wrap solo per sq cm
  • Q4422 Ac wrap per sq cm
  • Q4423 Biolab tri wrap fl per sq cm
  • Q4424 Revive ft per sq cm
  • Q4425 Revive tl per sq cm
  • Q4426 Dermbnd tl+, tlx per sq cm
  • Q4427 Dermbnd dln dl+ dlx sq cm
  • Q4428 Dermbnd sln sl+ slx sq cm
  • Q4429 Dermbnd chn, chx per sq cm
  • Q4431 Pma skin substitute, NOS
  • Q4432 510(k) skin subs, NOS
  • Q4433 361 hct/p skin subs, NOS
  • Q4435 Renati membrane per sq cm
  • Q4436 Renati ac membrane per sq cm
  • Q4437 Revival ac per sq cm
  • Q4438 Pretect per sq cm
  • Q4439 Instagraft per sq cm
  • Q4440 Curamatrix per sq cm
  • Q5137 Inj, wezlana, sub cu, 1 mg
  • Q5140 Inj adalimumab-fkjp, 1 mg
  • Q5141 Inj adalimumab-aaty, 1 mg
  • Q5142 Inj adalimumab-ryvk, 1 mg
  • Q5143 Inj adalimumab-adbm, 1 mg
  • Q5144 Inj, idacio, 1 mg
  • Q5145 Inj, abrilada, 1 mg
  • Q5149 Inj, aflibercept-abzv, 1 mg
  • Q5150 Inj, aflibercept-mrbb, 1 mg
  • Q5153 Inj, aflibercept-yszy, 1 mg
  • Q5155 Inj, aflibercept-jbvf, 1 mg
  • Q5159 Inj, denosumab-dssb, 1 mg
  • Q5164 Ustekinumab-hmny, 1 mg
  • Q5165 Inj, denosumab-mobz, 1 mg
  • Q5170 Inj, aflibercept-boav, 1 mg
  • Q5171 Inj, den (boncres), bio, 1mg
  • Q5173 Inj, denosumab-adet, 1 mg
  • Q9996 Ustekinumab- ttwe sub cu inj

How this category is built

HCPCS Level II codes are organized by their first letter, which is how the range hubs on this site group them, but one kind of item or service often spans several letters: wheelchairs sit in the E and K ranges, supplies in A, B, Q and T, and imaging in A, C, G, Q and R. This hub regroups the codes by the BETOS category CMS records for each code in the HCPCS file, splitting the large prosthetic and orthotic category by L-code range and keeping vision and hearing items apart, so each non-drug code belongs to exactly one category hub besides its range hub. The national Medicare amount comes from the 2026 physician fee schedule, DMEPOS, clinical laboratory, OPPS or ASC file that prices the code, as on its reference page.

Where QuickIntell fits for drugs, biologicals and vaccines without an ASP limit

QuickCode supports qualified coder review of units, modifiers and NCCI pairs before the claim leaves, and QuickAuth coordinates requirement checks and documentation for items and services that a coverage policy governs, each with human review.

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Frequently asked questions

Which HCPCS codes are grouped under "Drugs, biologicals and vaccines without an ASP limit"?

651 active Level II codes in the October 2026 file, grouped here by BETOS O1D, O1E, O1G and D1G. 33 have a full reference page; the table lists those and the collapsed list names the rest.

What is a BETOS category?

The Berenson-Eggers Type of Service classification groups HCPCS and CPT codes into broad clinical categories such as evaluation and management, procedures, imaging, tests and durable medical equipment. CMS carries a BETOS code for each Level II code in the HCPCS file, which is what this hub reads.

Which code in this category has the highest Medicare amount?

Among the codes with an indexed page, G0260 at $721.17 (OPPS rate), from the October 2026 files. Each code page shows the full breakdown by modifier, state or locality.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

Operational reference compiled from CMS publications. Amounts are Medicare national figures before locality and state adjustment; other payers differ. CPT codes appear as numbers only. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.