HCPCS code J0885 — Epoetin alfa, non-esrd.
Status: Active.
Effective Jan 1, 2006.
Source: CMS HCPCS Level II.
J0885
ActiveEpoetin alfa, non-esrd
Injection, epoetin alfa, (for non-esrd use), 1000 units
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:
1686
Drug class:
Erythropoiesis-Stimulating Agents
Medicare Part B utilization — 2023
Services billed
980,000
Beneficiaries
62,000
Medicare paid
$23,520,000
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 J0885 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 | 60 |
| Practitioner Services | 60 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 55513-0126-10 | Epogen |
| 55513-0144-10 | Epogen |
| 55513-0148-10 | Epogen |
| 55513-0267-10 | Epogen |
| 55513-0283-10 | Epogen |
| 55513-0478-10 | Epogen |
| 59676-0302-01 | Procrit |
| 59676-0303-01 | Procrit |
| 59676-0304-01 | Procrit |
| 59676-0310-01 | Procrit |
| 59676-0310-02 | Procrit |
| 59676-0312-04 | Procrit |
| 59676-0320-04 | Procrit |
| 59676-0340-01 | Procrit |