In short

J0891 is the HCPCS Level II code for injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use). One billing unit is 1 mg (for non-esrd use).

Code

CMS HCPCS file
HCPCS codeJ0891
Billing unit1 mg (for non-esrd use)
Descriptor
Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)
Short descriptor
Argatroban nonesrd (accord)
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2023

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

Units and claim line

Units = dose given ÷ 1 mg (for non-esrd use). For example, 100 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Find the NDC

Med-Code hasn’t mapped J0891 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.

Search NDCs for argatroban

J0891: common questions

Is J0891 a CPT code?
No. J0891 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 J0891?
One unit of J0891 is 1 mg (for non-esrd use), as stated in the code's descriptor. Units to report = dose given ÷ 1 mg (for non-esrd use). J-code billing units.

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