Home Drug Codes J Codes J0894 · DACOGEN
Updated July 1st, 2026

DACOGEN J Code: J0894

Injection, decitabine, 1 mg

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Q4 2026 Medicare Payment Limit for J0894, effective October 1, 2026: $1.098 per HCPCS billing unit, up 3.2% from $1.064. From CMS's final file.

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Medicare Payment Limit ?
$1.064
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
22
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Drug & Product Overview

HCPCS Descriptor Injection, decitabine, 1 mg
HCPCS Added Date January 1, 2007
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution | Not Available

About DACOGEN

Dacogen is a medication aligned to the HCPCS J Code: J0894 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: This medication is used to treat a group of blood/bone marrow disorders (myelodysplastic syndromes-MDS) in which the bone marrow does not produce enough healthy blood cells. People with MDS may have problems such as infections, anemia, and easy bleeding/bruising. Decitabine is a chemotherapy drug. It is believed to work by helping your bone marrow grow normal blood cells so you will need fewer blood transfusions. Decitabine also kills abnormal blood cells that have grown too fast and do not work properly.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 22 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00143-9385-01 decitabine Hikma Pharmaceuticals USA Inc. 50 50 MG
16729-0224-05 Decitabine Accord Healthcare Inc. 50 50 MG / 20 ML
25021-0219-20 Decitabine Sagent Pharmaceuticals 50 50 MG / 20 ML
43598-0427-37 Decitabine Dr. Reddy's Laboratories Inc. 50 50 MG / 10 ML
50742-0430-01 Decitabine Ingenus Pharmaceuticals LLC 50 50 MG
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DACOGEN Pricing & Reimbursement

J0894 Private Payer Reimbursement
$1.15 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Decitabine 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J0893 Sun Pharma Decitabine Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg
J0894 Generic Code (Multiple Manufacturers) Decitabine Injection, decitabine, 1 mg

DACOGEN CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
96415 Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)
JW / JZ modifiers apply

CMS has identified Dacogen (J0894) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

DACOGEN Medically Unlikely Edits (MUE)

The most billing units of J0894 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
100 units / day
= 100 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

DACOGEN Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Myelodysplastic Syndromes (MDS) Myelodysplastic syndromes (MDS)
Drug Class
Nucleic Acid Synthesis Inhibitors [MoA]Nucleoside Metabolic Inhibitor [EPC]

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Frequently Asked Questions

Is there an available Dacogen billing and coding guide?
We have not yet identified a manufacturer source of Dacogen billing and coding information.
Are there any available Dacogen patient assistance programs?
Our team did not identify a source for Dacogen patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Dacogen prescribing information?
DACOGEN prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →
Where can I find Dacogen side effect information?
Our team has not yet identified a source of side effects information for DACOGEN. Please check back in a few weeks.
Does billing DACOGEN require JZ/JW wastage modifiers?
CMS has identified DACOGEN(J0894) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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