HCPCS drug code · CMS crosswalk
Monoferric J-Code / HCPCS Code
In short
Monoferric is billed under HCPCS J1437 — Injection, ferric derisomaltose, 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 1 Monoferric NDC under this code.
Reference
- J1437
- Injection, ferric derisomaltose, 10 mgBilling unit: 10 mg
- Labelers
- Pharmacosmos Therapeutics Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$21.877
Per10 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
Monoferric units and claim line
Enter the dose given to get the J1437 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Monoferric 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 |
|---|---|---|---|---|
| 73594-9310-01 | J1437 | Pharmacosmos Therapeutics Inc. | 10 | 100 |
Monoferric: common questions
- What is the J-code for Monoferric?
- Monoferric is billed under HCPCS J1437 — Injection, ferric derisomaltose, 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 1 Monoferric NDC under this code.
- How many J1437 billing units are in a package of Monoferric?
- CMS lists 100 billing units per package, depending on the NDC, where one unit is 10 mg. Units to report are based on the dose given, not the package.
- Is J1437 a CPT code?
- No. J1437 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.