HCPCS code J0888: Epoetin beta, per 1 mcg2026 Medicare rate & RVUs in Missouri
Reports epoetin beta for non-ESRD use, with each unit representing one microgram of the drug administered.
CMS doesn’t publish an office rate for J0888 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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On this page 9 sections
What J0888 covers
J0888 identifies epoetin beta billed for non-ESRD use. Epoetin beta is an erythropoiesis-stimulating medicine that supports red blood cell production; this code distinguishes that drug and use category from epoetin beta for ESRD use and from other drug products used in anemia care. Its unit basis is the amount of epoetin beta, with one unit representing one microgram. A 100-microgram dose therefore corresponds to 100 units. The code identifies the drug amount for billing.
CMS assigns J0888 physician fee schedule status E, so it is excluded from the physician fee schedule. When Medicare covers the item or service, payment is made through another payment method. The HCPCS pricing method is other contractor pricing, meaning the Medicare contractor sets payment. Its HCPCS coverage designation indicates that special Medicare coverage instructions apply. Select J0888 for epoetin beta when the use is non-ESRD, and report units according to the microgram amount administered.
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 J0888 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 J0888 rate is calculated
Each of J0888’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 · J0888
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 J0888
J0888 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 · J0888
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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J0888 isn’t priced in this setting.
J0888 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- J0887Epoetin betaPer 1 mcg, ESRD
- Both identify epoetin beta, but J0887 is for ESRD use and J0888 is for non-ESRD use.
- J0885Epoetin alfaPer 1,000 units
- J0885 identifies epoetin alfa for non-ESRD use; J0888 identifies epoetin beta for non-ESRD use.
- J0881Darbepoetin alfaPer 1 mcg, non-ESRD
- J0881 identifies darbepoetin alfa for non-ESRD use; J0888 identifies epoetin beta for non-ESRD use.
J0888 billing questions
When should J0888 be used instead of J0887?
J0888 is for epoetin beta billed for non-ESRD use. J0887 is the epoetin beta code for ESRD use.
How many units should be reported?
Each unit represents 1 microgram of epoetin beta. A 100-microgram dose corresponds to 100 units.
Does Medicare pay J0888 under the physician fee schedule?
No. CMS assigns status E, excluding it from the physician fee schedule. When Medicare covers the item or service, payment is through another method, with the Medicare contractor setting payment.
How does J0888 differ from J0885 or J0881?
J0888 identifies epoetin beta for non-ESRD use. J0885 identifies epoetin alfa, and J0881 identifies darbepoetin alfa, both for non-ESRD use.
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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