J0901 HCPCS code: Vadadustat, oral, 1 mg (for esrd on dialysis)
J0901 is the HCPCS Level II code for vadadustat, oral, 1 mg (for esrd on dialysis). Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 600 per day on DME suppliers.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 2025-01-01 |
| Last action effective | 2025-01-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 600 | Prescribing Information |
| outpatient hospital claims | 600 | Prescribing Information |
| practitioner claims | 600 | Prescribing Information |
What changed for J0901
- 2025-01-01: J0901 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code J0901?
J0901 is the HCPCS Level II code for vadadustat, oral, 1 mg (for esrd on dialysis). Short descriptor: "Vadadustat oral 1mg for esrd".
Does Medicare cover J0901?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of J0901 can be billed per day?
600 on DME suppliers; 600 on outpatient hospital claims; 600 on practitioner claims (NCCI medically unlikely edits).
Related J09 codes
- J0900 — Injection, testosterone enanthate and estradiol valerate, up to 1 cc
- J0911 — Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)
- J0945 — Injection, brompheniramine maleate, per 10 mg
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Next steps
- Run a reimbursement report for a device billed under J0901
- Watch J0901 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J0901
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.