HCPCS Level II drug code
J0894 — Injection, decitabine, 1 mg
In short
J0894 is the HCPCS Level II code for injection, decitabine, 1 mg. CMS assigns NDCs for Dacogen and Decitabine to it. One billing unit is 1 mg. The Medicare Part B payment limit is $1.098 per unit (October 1, 2026 through December 31, 2026).
Code
CMS HCPCS file- Descriptor
- Injection, decitabine, 1 mg
- Short descriptor
- Decitabine injection
- 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.
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
Units and claim line
Units = dose given ÷ 1 mg. 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.
NDCs billed under J0894
CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 19 NDCs to J0894 for Dacogen and Decitabine. Billing units per package are CMS’s figures for this code’s unit.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Dacogen | 59148-0046-70 | Otsuka America Pharmaceuticals Inc. | 1 | 50 |
| Decitabine | 00143-9385-01 | Hikma Pharmaceuticals USA Inc. | 1 | 50 |
| Decitabine | 16729-0224-05 | Accord Healthcare Inc | 1 | 50 |
| Decitabine | 25021-0219-20 | Sagent Pharmaceuticals | 1 | 50 |
| Decitabine | 25021-0231-20 | Sagent Pharmaceuticals | 1 | 50 |
| Decitabine | 43598-0427-37 | Dr. Reddy's Laboratories Inc. | 1 | 50 |
| Decitabine | 55111-0556-10 | Dr. Reddy's Laboratories Inc. | 1 | 50 |
| Decitabine | 55150-0376-01 | Eugia US LLC | 1 | 50 |
| Decitabine | 67457-0316-25 | Mylan Institutional LLC | 1 | 50 |
| Decitabine | 68001-0573-41 | BluePoint Laboratories | 1 | 50 |
| Decitabine | 68001-0618-37 | BluePoint Laboratories | 1 | 50 |
| Decitabine | 68001-0642-41 | BluePoint Laboratories | 1 | 50 |
| Decitabine | 69097-0905-67 | Cipla USA, Inc. | 1 | 50 |
| Decitabine | 70860-0219-20 | Athenex Pharmaceutical Division, LLC | 1 | 50 |
| Decitabine | 71288-0119-20 | Meitheal Pharmaceuticals Inc. | 1 | 50 |
| Decitabine | 72205-0031-01 | Novadoz Pharmaceuticals LLC | 1 | 50 |
| Decitabine | 72205-0036-01 | Novadoz Pharmaceuticals LLC | 1 | 50 |
| Decitabine | 72603-0107-01 | Northstar RxLLC | 1 | 50 |
| Decitabine | 75834-0190-01 | Nivagen Pharmaceuticals, Inc. | 1 | 50 |
J0894: common questions
- Is J0894 a CPT code?
- No. J0894 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 NDCs are billed under J0894?
- CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 19 NDCs under J0894, for Dacogen and Decitabine. The table on this page shows each one with its billing units per package.
- What is the Medicare payment limit for J0894?
- $1.098 per 1 mg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.
- What is one billing unit of J0894?
- One unit of J0894 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg. J-code billing units.