HCPCS code J0879 — Difelikefalin, esrd on dialy. Status: Active. Effective Jan 1, 2024. Source: CMS HCPCS Level II.

J0879

Active

Difelikefalin, esrd on dialy

Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2024
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J0879 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 1300
Practitioner Services 1300

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2024-Q1
    Difelikefalin, esrd on dialy