HCPCS code J0882: Darbepoetin alfa, ESRD on dialysis, per 1 mcg2026 Medicare rate & RVUs in Missouri
Reports darbepoetin alfa given for anemia management in a patient with end-stage renal disease receiving dialysis, with each unit representing 1 mcg.
CMS doesn’t publish an office rate for J0882 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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
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
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
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