J2796 was retired on Dec 31, 2024

CMS ended J2796 after Dec 31, 2024. Don’t report it for later dates of service. Current codes for the same drug:

Code

CMS HCPCS file
HCPCS codeJ2796
Billing unit10 micrograms
Descriptor
Injection, romiplostim, 10 micrograms
Short descriptor
Romiplostim injection
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2025

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

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Med-Code hasn’t mapped J2796 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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J2796: common questions

Is J2796 a CPT code?
No. J2796 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 J2796?
One unit of J2796 is 10 micrograms, as stated in the code's descriptor. Units to report = dose given ÷ 10 micrograms. J-code billing units.

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