HCPCS code J0881 — Darbepoetin alfa, non-esrd.
Status: Active.
Effective Jan 1, 2006.
Source: CMS HCPCS Level II.
J0881
ActiveDarbepoetin alfa, non-esrd
Injection, darbepoetin alfa, 1 microgram (non-esrd use)
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2006
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
1685
Drug class:
Erythropoiesis-Stimulating Agents
Medicare Part B utilization — 2023
Services billed
720,000
Beneficiaries
45,000
Medicare paid
$17,280,000
Avg per service
$30.00
Source: Medicare Part B Provider Utilization Public Use File (anonymized, aggregated to HCPCS level).
MUE — Medically Unlikely Edits
Maximum units of J0881 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 |
|---|---|
| DME Supplier | 0 |
| Outpatient Hospital | 500 |
| Practitioner Services | 500 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 55513-0002-04 | Aranesp |
| 55513-0003-04 | Aranesp |
| 55513-0004-04 | Aranesp |
| 55513-0005-04 | Aranesp |
| 55513-0006-01 | Aranesp |
| 55513-0021-04 | Aranesp |
| 55513-0023-04 | Aranesp |
| 55513-0025-04 | Aranesp |
| 55513-0027-04 | Aranesp |
| 55513-0028-01 | Aranesp |
| 55513-0032-01 | Aranesp |
| 55513-0057-04 | Aranesp |
| 55513-0098-04 | Aranesp |
| 55513-0111-01 | Aranesp |