In short

Sodium Ferric Gluconate is billed under HCPCS J2916 — Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg. One billing unit is 12.5 mg. CMS's crosswalk lists 2 Sodium Ferric Gluconate NDCs under this code.

J2916 code details

Reference

J2916
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mgBilling unit: 12.5 mg
Labelers
Hikma Pharmaceuticals USA Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$1.956
Per12.5 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

Sodium Ferric Gluconate units and claim line

Enter the dose given to get the J2916 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Sodium Ferric Gluconate 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.

Sodium Ferric Gluconate NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00143-9298-10J2916Hikma Pharmaceuticals USA Inc.10 × 550
00143-9570-10J2916Hikma Pharmaceuticals USA Inc.10 × 550

Sodium Ferric Gluconate: common questions

What is the J-code for Sodium Ferric Gluconate?
Sodium Ferric Gluconate is billed under HCPCS J2916 — Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg. One billing unit is 12.5 mg. CMS's crosswalk lists 2 Sodium Ferric Gluconate NDCs under this code.
How many J2916 billing units are in a package of Sodium Ferric Gluconate?
CMS lists 50 billing units per package, depending on the NDC, where one unit is 12.5 mg. Units to report are based on the dose given, not the package.
Is J2916 a CPT code?
No. J2916 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.

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