Home Drug Codes J Codes J0879 · KORSUVA
Updated July 1st, 2026

KORSUVA J Code: J0879

Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Drug & Product Overview

HCPCS Descriptor Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)
HCPCS Added Date April 1, 2022
Manufacturer Vifor International
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution

About KORSUVA

Korsuva is a medication aligned to the HCPCS J Code: J0879 for billing, pricing, and reimbursement purposes in the United States. This Non-Opioid Analgesic medication is administered via the intravenous route and manufactured by Vifor International.

Manufacturers, reach out to us to add more information.

NDC Code Information

2 NDC packages are crosswalked to J0879. Package detail is available to logged-in subscribers.

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KORSUVA Pricing & Reimbursement

J0879 Private Payer Reimbursement
$0.18 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

KORSUVA 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)
Not on the CMS JW / JZ list

CMS does not include Korsuva (J0879) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0879. Wastage billing guide →

KORSUVA Medically Unlikely Edits (MUE)

The most billing units of J0879 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 mcg.

Practitioner Office & Hospital Outpatient
1,300 units / day
= 130 mcg 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 →

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

KORSUVA 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.

pruritus associated with chronic kidney disease (CKD-aP)
Drug Class
Kappa Opioid Receptor Agonist [EPC]Opioid kappa Receptor Agonists [MoA]

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Frequently Asked Questions

Is there an available Korsuva billing and coding guide?
Billing and coding information for KORSUVA can be found through Vifor International. Visit Here →
Are there any available Korsuva patient assistance programs?
KORSUVA patient assistance information can be found through Vifor. Visit Here →
Where can I find Korsuva prescribing information?
KORSUVA prescribing information can be found at the link below: Visit Here →
Where can I find Korsuva side effect information?
Information regarding KORSUVA's side effects can be found at MedlinePlus Visit Here →
Does billing KORSUVA require JZ/JW wastage modifiers?
CMS does not include KORSUVA (J0879) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0879. For more information, visit the link below.

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