J2806 was retired on Dec 31, 2024

CMS ended J2806 after Dec 31, 2024. Don’t report it for later dates of service. Current codes for the same drug:

Code

CMS HCPCS file
HCPCS codeJ2806
Billing unit5 micrograms
Descriptor
Injection, sincalide (maia), not therapeutically equivalent to j2805, 5 micrograms
Short descriptor
Inj sincalide, maia, 5 mcg
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.

Find the NDC

Med-Code hasn’t mapped J2806 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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J2806: common questions

Is J2806 a CPT code?
No. J2806 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 J2806?
One unit of J2806 is 5 micrograms, as stated in the code's descriptor. Units to report = dose given ÷ 5 micrograms. J-code billing units.

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