HCPCS drug code · CMS crosswalk
Epogen HCPCS Code
In short
CMS assigns Epogen NDCs to 2 HCPCS codes: J0885 (per 1000 units), Q4081 (per 100 units). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J0885
- Injection, epoetin alfa, (for non-esrd use), 1000 unitsBilling unit: 1000 units
- Q4081
- HCPCS Level II drug codeBilling unit: 100 units
- Labelers
- Amgen Inc
Medicare Part B payment limit
CMS ASP fileEffective 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
Medicare Part B payment limit
CMS ASP fileEffective 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
Epogen units and claim line
Enter the dose given to get the J0885 units and the NDC line for the CMS-1500 and the 837P. This builds the J0885 line; use the code page for Q4081.
Enter the dose given to build the claim line.
Epogen 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 |
|---|---|---|---|---|
| 55513-0126-10 | J0885 | Amgen Inc | 10 × 1 | 20 |
| 55513-0126-20 | J0885 | Amgen Inc | 10 × 1 | 20 |
| 55513-0144-10 | J0885 | Amgen Inc | 10 × 1 | 100 |
| 55513-0148-10 | J0885 | Amgen Inc | 10 × 1 | 40 |
| 55513-0267-10 | J0885 | Amgen Inc | 10 × 1 | 30 |
| 55513-0267-20 | J0885 | Amgen Inc | 10 × 1 | 30 |
| 55513-0283-10 | J0885 | Amgen Inc | 10 × 2 | 200 |
| 55513-0283-20 | J0885 | Amgen Inc | 10 × 2 | 200 |
| 55513-0478-10 | J0885 | Amgen Inc | 10 × 1 | 200 |
| 55513-0478-20 | J0885 | Amgen Inc | 10 × 1 | 200 |
| 55513-0126-10 | Q4081 | Amgen Inc | 10 × 1 | 200 |
| 55513-0126-20 | Q4081 | Amgen Inc | 10 × 1 | 200 |
| 55513-0144-10 | Q4081 | Amgen Inc | 10 × 1 | 1000 |
| 55513-0148-10 | Q4081 | Amgen Inc | 10 × 1 | 400 |
| 55513-0267-10 | Q4081 | Amgen Inc | 10 × 1 | 300 |
| 55513-0267-20 | Q4081 | Amgen Inc | 10 × 1 | 300 |
| 55513-0283-10 | Q4081 | Amgen Inc | 10 × 2 | 2000 |
| 55513-0283-20 | Q4081 | Amgen Inc | 10 × 2 | 2000 |
| 55513-0478-10 | Q4081 | Amgen Inc | 10 × 1 | 2000 |
| 55513-0478-20 | Q4081 | Amgen Inc | 10 × 1 | 2000 |
Epogen: common questions
- What is the HCPCS code for Epogen?
- CMS assigns Epogen NDCs to 2 HCPCS codes: J0885 (per 1000 units), Q4081 (per 100 units). Which one applies depends on the product; the table lists each NDC with its code.
- How many J0885 billing units are in a package of Epogen?
- CMS lists 20 to 200 billing units per package, depending on the NDC, where one unit is 1000 units. Units to report are based on the dose given, not the package.
- How many Q4081 billing units are in a package of Epogen?
- CMS lists 200 to 2,000 billing units per package, depending on the NDC, where one unit is 100 units. Units to report are based on the dose given, not the package.
- Is J0885 a CPT code?
- No. J0885 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.
Other codes for the same drug
- J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)
- J0888Injection, epoetin beta, 1 microgram, (for non esrd use)
- Q5105Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units
- Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units