MIACALCIN J Code: J0630

Self-Administered Drug Exclusion 6 Medicare Administrative Contractors list J0630 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, First Coast, Noridian (A53032), Noridian (A53033), Novitas, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor Injection, calcitonin salmon, up to 400 units

HCPCS Added Date January 1, 1982

Manufacturer Multiple Manufacturers

Route of Administration Intramuscular, Subcutaneous

Generic Status Multi-Source; Generic

Dosage Type Multi-Dose

Dosage Form Injection, Solution

About MIACALCIN

Miacalcin is a medication aligned to the HCPCS J Code: J0630 for billing, pricing, and reimbursement purposes in the United States. This Osteoporosis medication is administered via the intramuscular or subcutaneous routes and manufactured by multiple companies.

According to CMS Drug Use Information: This medication is used to treat certain bone problems (such as Paget's disease, postmenopausal osteoporosis) and to reduce high blood levels of calcium. Calcitonin is a man-made hormone that works by slowing bone loss and maintaining normal calcium levels in the blood. It may also help to reduce bone pain in people who have Paget's disease.

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

9 NDC packages are crosswalked to J0630. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	MIACALCIN
	MIACALCIN
	MIACALCIN
	MIACALCIN

Login to view 9 NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.

MIACALCIN Pricing & Reimbursement

J0630 Private Payer Reimbursement

$865.68 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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MIACALCIN CPT Administration Codes

CPT Code	Description
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

Not on the CMS JW / JZ list

CMS does not include Miacalcin (J0630) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0630. Wastage billing guide →

MIACALCIN Medically Unlikely Edits (MUE)

The most billing units of J0630 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 400 units. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office

1 unit / day

= 400 units per day

Hospital Outpatient

8 units / day

= 3,200 units 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 →

MIACALCIN 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.

Hypercalcemia Paget's Disease of Bone Postmenopausal Osteoporosis

Drug Class

Calcitonin [CS]Calcitonin [EPC]

Frequently Asked Questions

Is there an available Miacalcin billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for MIACALCIN.

Are there any available Miacalcin patient assistance programs?

Our team has not identified a manufacturer-published source of patient assistance information for MIACALCIN.

Where can I find Miacalcin prescribing information?

MIACALCIN 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 Miacalcin side effect information?

Our team has not yet identified a source of side effects information for MIACALCIN. Please check back in a few weeks.

Does billing MIACALCIN require JZ/JW wastage modifiers?

CMS does not include MIACALCIN (J0630) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0630. For more information, visit the link below.

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