DACOGEN J Code: J0894
Injection, decitabine, 1 mg
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.
Drug & Product Overview
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 |
| •••••-••••-•• Log in to view | DACOGEN | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | DACOGEN | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | DACOGEN | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
DACOGEN Pricing & Reimbursement
National median reimbursement across major commercial payers.
Create an account on PayerPrice for more information →Historical Graphing and Billing Calculator
Log in to calculate billing and reimbursement with live ASP, WAC & AWP pricing.
Login to use the calculator →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) |
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.
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 →
DACOGEN Clinical Information
Indications and drug classification.
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.
Login for BuyandBill.com Analytics
Unlock deeper insights with BuyandBill’s Comparative Report!
- Compare ASP, WAC, and AWP across drugs.
- Visualize Drug Price Movement Over Time
- Tailor reports to drug class, manufacturer, or HCPCS Code.
- Compare Biosimilar and 505(b)(2) products.
Frequently Asked Questions
Is there an available Dacogen billing and coding guide?
Are there any available Dacogen patient assistance programs?
Where can I find Dacogen prescribing information?
Where can I find Dacogen side effect information?
Does billing DACOGEN require JZ/JW wastage modifiers?
About BuyandBill.com:
The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.
Related Drug Codes
Explore billing, coding, and pricing for drugs related to DACOGEN.