HCPCS Code J1756: Injection, Iron Sucrose, 1 mg

Medicare coverage for iron sucrose injection is generally available for patients with iron deficiency anemia when oral iron supplementation is inappropriate or ineffective. Commercial insurance plans typically follow similar guidelines but may have different prior authorization requirements or coverage limitations.

Venofer contains iron sucrose and is typically administered in smaller doses over multiple sessions, often 2-3 times per week for several weeks, with each dose usually limited to 100-200 mg. Injectafer contains ferric carboxymaltose and can be given in much larger single doses, up to 750 mg, allowing for fewer treatment sessions and potentially better patient compliance.

J-codes represent a specific subset of HCPCS Level II codes used exclusively for drugs that cannot be self-administered and must be given by healthcare providers in clinical settings. These codes, ranging from J0120 through J9999, cover injectable medications, infusions, inhalation solutions, and other non-oral drug formulations.