In short

J0879 is the HCPCS Level II code for injection, difelikefalin, 0.1 microgram, (for esrd on dialysis). One billing unit is 0.1 microgram.

Code

CMS HCPCS file
HCPCS codeJ0879
Billing unit0.1 microgram
Descriptor
Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)
Short descriptor
Difelikefalin, esrd on dialy
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2024

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Units and claim line

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

Enter the units to build the claim line.

Find the NDC

Med-Code hasn’t mapped J0879 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

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J0879: common questions

Is J0879 a CPT code?
No. J0879 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What is one billing unit of J0879?
One unit of J0879 is 0.1 microgram, as stated in the code's descriptor. Units to report = dose given ÷ 0.1 microgram. J-code billing units.

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