DOXERCALCIFEROL J Code: J1270
Injection, doxercalciferol, 1 mcg
Q4 2026 Medicare Payment Limit for J1270, effective October 1, 2026: $0.33 per HCPCS billing unit, up 1.5% from $0.325. From CMS's final file.
Drug & Product Overview
About DOXERCALCIFEROL
Doxercalciferol is a medication aligned to the HCPCS J Code: J1270 for billing, pricing, and reimbursement purposes in the United States. It is an Endocrinology drug administered via the intravenous route and manufactured by multiple companies.
According to CMS Drug Use Information: This medication is used to treat people with serious kidney disease on dialysis who have high levels of a certain substance (parathyroid hormone-PTH), which your body normally makes. High PTH levels affect the balance of other minerals in your body (calcium and phosphorus) and may cause weak bones. Doxercalciferol is a form of vitamin D. It works by decreasing PTH levels and increasing calcium/phosphorus levels in the body.
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 9 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 43598-0850-50 | Doxercalciferol | Dr.Reddy's Laboratories Inc | 200 | 4 MCG / 2 ML |
| 55150-0359-50 | Doxercalciferol | Eugia Us Llc | 200 | 4 MCG / 2 ML |
| 58468-0123-01 | Hectorol | Genzyme Corporation | 200 | 4 MCG / 2 ML |
| 62332-0690-30 | Doxercalciferol | Alembic Pharmaceuticals Inc. | 200 | 4 MCG / 2 ML |
| 71288-0802-04 | Doxercalciferol | Meitheal Pharmaceuticals Inc. | 100 | 4 MCG / 2 ML |
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DOXERCALCIFEROL Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →DOXERCALCIFEROL 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 |
|---|---|
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) |
| 96374 Login for More | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug Login for More |
CMS does not include Doxercalciferol (J1270) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1270. Wastage billing guide →
DOXERCALCIFEROL Medically Unlikely Edits (MUE)
The most billing units of J1270 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mcg. The limit is different in the office and the hospital. Use the one for your setting.
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 →
DOXERCALCIFEROL 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.
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Frequently Asked Questions
Is there an available Doxercalciferol billing and coding guide?
Are there any available Doxercalciferol patient assistance programs?
Where can I find Doxercalciferol prescribing information?
Where can I find Doxercalciferol side effect information?
Does billing DOXERCALCIFEROL require JZ/JW wastage modifiers?
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