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Updated July 1st, 2026

MIRCERA J Code: J0888

Injection, epoetin beta, 1 microgram, (for non esrd use)

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Q4 2026 Medicare Payment Limit for J0888, effective October 1, 2026: $1.196 per HCPCS billing unit, up 9.7% from $1.09. From CMS's final file.

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Medicare Payment Limit ?
$1.09
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
7
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Drug & Product Overview

HCPCS Descriptor Injection, epoetin beta, 1 microgram, (for non esrd use)
HCPCS Added Date January 1, 2015
Manufacturer Vifor International
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution

About MIRCERA

Mircera is a medication aligned to the HCPCS J Code: J0888 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route and manufactured by Vifor International.

According to CMS Drug Use Information: This medication is used to treat anemia (low red blood cell count) in people with long-term serious kidney disease (chronic kidney disease). It works by signaling the bone marrow to make more red blood cells. Methoxy polyethylene glycol-epoetin beta helps to reverse anemia. It also helps to reduce the need for blood transfusions. This medication is very similar to the natural substance in your body (erythropoietin) that prevents anemia.

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 7 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
59353-0400-09 Mircera Vifor (International) Inc. 30 30 MCG / 0.3 ML
59353-0401-09 Mircera Vifor (International) Inc. 50 50 MCG / 0.3 ML
59353-0402-09 Mircera Vifor (International) Inc. 75 75 MCG / 0.3 ML
59353-0403-09 Mircera Vifor (International) Inc. 100 100 MCG / 0.3 ML
59353-0404-09 Mircera Vifor (International) Inc. 150 150 MCG / 0.3 ML
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MIRCERA Pricing & Reimbursement

J0888 Private Payer Reimbursement
$1.27 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

MIRCERA 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 Mircera (J0888) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0888. Wastage billing guide →

MIRCERA Medically Unlikely Edits (MUE)

The most billing units of J0888 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mcg.

Practitioner Office & Hospital Outpatient
360 units / day
= 360 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.

MIRCERA 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.

Anemia associated with chronic kidney disease
Drug Class
Erythropoiesis-stimulating Agent [EPC]Erythropoietin [CS]Increased Erythroid Cell Production [PE]

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Frequently Asked Questions

Is there an available Mircera billing and coding guide?
Billing and coding information for MIRCERA can be found through Vifor. Visit Here →
Are there any available Mircera patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for MIRCERA.
Where can I find Mircera prescribing information?
MIRCERA prescribing information can be found at the link below: Visit Here →
Where can I find Mircera side effect information?
Information regarding MIRCERA's side effects can be found at MedlinePlus Visit Here →
Does billing MIRCERA require JZ/JW wastage modifiers?
CMS does not include MIRCERA (J0888) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0888. For more information, visit the link below.

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