HCPCS drug code · CMS crosswalk
Decitabine J-Code / HCPCS Code
In short
Decitabine is billed under HCPCS J0894 — Injection, decitabine, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 18 Decitabine NDCs under this code.
Reference
- J0894
- Injection, decitabine, 1 mgBilling unit: 1 mg
- Labelers
- Accord Healthcare Inc; Athenex Pharmaceutical Division, LLC; BluePoint Laboratories; Cipla USA, Inc.; Dr. Reddy's Laboratories Inc.; Eugia US LLC; Hikma Pharmaceuticals USA Inc.; Meitheal Pharmaceuticals Inc.and 5 more
Medicare Part B payment limit
CMS ASP filePayment limit per unit$1.098
Per1 mg
Coinsurance20%
Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Decitabine units and claim line
Enter the dose given to get the J0894 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Decitabine NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 00143-9385-01 | J0894 | Hikma Pharmaceuticals USA Inc. | 1 | 50 |
| 16729-0224-05 | J0894 | Accord Healthcare Inc | 1 | 50 |
| 25021-0219-20 | J0894 | Sagent Pharmaceuticals | 1 | 50 |
| 25021-0231-20 | J0894 | Sagent Pharmaceuticals | 1 | 50 |
| 43598-0427-37 | J0894 | Dr. Reddy's Laboratories Inc. | 1 | 50 |
| 55111-0556-10 | J0894 | Dr. Reddy's Laboratories Inc. | 1 | 50 |
| 55150-0376-01 | J0894 | Eugia US LLC | 1 | 50 |
| 67457-0316-25 | J0894 | Mylan Institutional LLC | 1 | 50 |
| 68001-0573-41 | J0894 | BluePoint Laboratories | 1 | 50 |
| 68001-0618-37 | J0894 | BluePoint Laboratories | 1 | 50 |
| 68001-0642-41 | J0894 | BluePoint Laboratories | 1 | 50 |
| 69097-0905-67 | J0894 | Cipla USA, Inc. | 1 | 50 |
| 70860-0219-20 | J0894 | Athenex Pharmaceutical Division, LLC | 1 | 50 |
| 71288-0119-20 | J0894 | Meitheal Pharmaceuticals Inc. | 1 | 50 |
| 72205-0031-01 | J0894 | Novadoz Pharmaceuticals LLC | 1 | 50 |
| 72205-0036-01 | J0894 | Novadoz Pharmaceuticals LLC | 1 | 50 |
| 72603-0107-01 | J0894 | Northstar RxLLC | 1 | 50 |
| 75834-0190-01 | J0894 | Nivagen Pharmaceuticals, Inc. | 1 | 50 |
Decitabine: common questions
- What is the J-code for Decitabine?
- Decitabine is billed under HCPCS J0894 — Injection, decitabine, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 18 Decitabine NDCs under this code.
- How many J0894 billing units are in a package of Decitabine?
- CMS lists 50 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
- Is J0894 a CPT code?
- No. J0894 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.