HCPCS J2916: Injection, Sodium Ferric Gluconate Complex in Sucrose Injection, 12.5 mg

HCPCS J2916: Injection, Sodium Ferric Gluconate Complex in Sucrose Injection, 12.5 mg

Learn more about the documentation and billing requirements to properly use and bill for HCPCS code J2916.

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Frequently asked questions

No. J2916 covers only the cost of the drug product itself (sodium ferric gluconate complex in sucrose).

The billed units are calculated by dividing the total dose administered by the code's unit dosage.

For Medicare and many other payers, the use of the JW (drug wastage) or JZ (zero wastage) modifiers is often required for drugs supplied in single-dose containers, like Ferrlecit. Providers must check the specific payer's guidelines and apply the appropriate modifier to attest to the amount administered and/or the amount discarded.

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