FERAHEME Q Code: Q0139
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis)
Q4 2026 Medicare Payment Limit for Q0139, effective October 1, 2026: $0.331 per HCPCS billing unit, down 10.5% from $0.37. From CMS's final file.
Drug & Product Overview
About FERAHEME
Feraheme is a medication aligned to the HCPCS Q Code: Q0139 for billing, pricing, and reimbursement purposes in the United States. Classified under Anti-Anemia, it is administered via the intravenous route and manufactured by multiple companies.
According to CMS Drug Use Information: This medication is used to treat "iron-poor" blood (iron deficiency anemia). Ferumoxytol is a form of injectable iron that is used if you cannot take iron by mouth because of side effects or an unsuccessful response to treatment. It is also used by people who have anemia due to long-term kidney disease. Iron is an important part of your red blood cells and is needed to carry oxygen throughout the body. Many people with kidney disease cannot get enough iron from food and require injections. People with kidney disease may also need extra iron because of blood loss during kidney dialysis treatment.
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. The list of NDCs below is not exhaustive.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00781-3154-01 | Ferumoxytol | Sandoz Inc | 510 | 510 MG / 17 ML |
| 59338-0775-01 | Feraheme | AMAG Pharmaceuticals, Inc | 510 | 510 MG / 17 ML |
FERAHEME Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.
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FERAHEME 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 |
| 96375 Login for More | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug. Login for More |
CMS does not include Feraheme (Q0139) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q0139. Wastage billing guide →
FERAHEME Medically Unlikely Edits (MUE)
The most billing units of Q0139 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 →
FERAHEME 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
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