HCPCS code J0882: Darbepoetin alfa, ESRD on dialysis, per 1 mcg2026 Medicare rate & RVUs

Reports darbepoetin alfa given for anemia management in a patient with end-stage renal disease receiving dialysis, with each unit representing 1 mcg.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J0882

Darbepoetin alfa, ESRD on dialysis, per 1 mcg

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for J0882 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What J0882 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What J0882 covers

Darbepoetin alfa is an erythropoiesis-stimulating medicine used to manage anemia associated with chronic kidney disease. Dialysis facilities and other treating clinicians may report it when administering the drug to a patient with end-stage renal disease who is receiving dialysis. The code identifies the dialysis-use context, distinguishing it from darbepoetin alfa reported for non-ESRD use.

CMS excludes this code from the physician fee schedule (status E). When Medicare covers the item, payment is under another payment method; HCPCS pricing assigns other contractor pricing, meaning the Medicare contractor sets payment. Special Medicare coverage instructions apply. One unit represents 1 mcg of darbepoetin alfa, so units correspond to the administered dose in micrograms.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where J0882 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

J0882 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

J0882 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
J0882 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the J0882 rate is calculated

Each of J0882’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · J0882

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for J0882

J0882 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · J0882

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

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J0882 isn’t priced in this setting.

J0882 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J0882

    Darbepoetin alfa, ESRD on dialysis, per 1 mcg0 wRVU

    Not priced

  • J0881

    Darbepoetin alfa, per 1 mcg, non-ESRD0 wRVU

    Not priced

  • J0887

    Epoetin beta, per 1 mcg, ESRD0 wRVU

    Not priced

  • J0885

    Epoetin alfa, per 1,000 units0 wRVU

    Not priced

How to choose

J0881Darbepoetin alfaPer 1 mcg, non-ESRD
Both codes identify darbepoetin alfa. J0882 is for ESRD patients receiving dialysis; J0881 is for non-ESRD use.
J0887Epoetin betaPer 1 mcg, ESRD
J0887 identifies epoetin beta for ESRD use. J0882 identifies darbepoetin alfa for the dialysis-use context.
J0885Epoetin alfaPer 1,000 units
J0885 identifies epoetin alfa for non-ESRD use; J0882 identifies darbepoetin alfa for ESRD patients receiving dialysis.

J0882 billing questions

When should I use this code instead of J0881?

Use J0882 for darbepoetin alfa in the ESRD-on-dialysis context. J0881 identifies darbepoetin alfa for non-ESRD use.

How many units should I report?

Each unit represents 1 mcg. Report units according to the administered dose in micrograms.

What should the record support?

Record the patient's dialysis context, the darbepoetin alfa administered, and the dose so the reported units can be verified.

Does status E mean Medicare never pays for this code?

No. Status E means the code is excluded from the physician fee schedule; when Medicare covers the item, payment is under another method, with the Medicare contractor setting payment.

Does this code establish separate payment for the drug?

The code is excluded from the physician fee schedule, and its pricing assignment is other contractor pricing. Special Medicare coverage instructions apply.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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