Home › Drug Codes › J Codes › J1437 · Monoferric
Updated July 1st, 2026

Monoferric J Code: J1437

Injection, ferric derisomaltose, 10 mg

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Q4 2026 Medicare Payment Limit for J1437, effective October 1, 2026: $21.877 per HCPCS billing unit, up 3.8% from $21.077. From CMS's final file.

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Medicare Payment Limit ?
$21.077
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$21.077
/ HCPCS billing unit · APC 9388
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, ferric derisomaltose, 10 mg
HCPCS Added Date October 1, 2020
Manufacturer Pharmacosmos
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution

About Monoferric

Monoferric is a medication aligned to the HCPCS J Code: J1437 for billing, pricing, and reimbursement purposes in the United States. This Anti-Anemia medication is administered via the intravenous route and manufactured by Pharmacosmos.

According to CMS Drug Use Information: This medication is used to treat "iron-poor" blood (iron deficiency anemia). Low iron levels can occur due to many conditions, including when your body cannot get enough iron from food (because of poor nutrition or poor absorption) or when there is long-term blood loss. Ferric derisomaltose 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 mineral that your body needs to make enough healthy red blood cells to carry oxygen throughout your 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. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
73594-9310-01 Monoferric Pharmacosmos Therapeutics Inc. 100 1000 MG / 10 ML
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Monoferric Pricing & Reimbursement

J1437 Private Payer Reimbursement
$22.62 / 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

Monoferric Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 7.85%
Avg. Days to File 5.6days
Avg. Days to Pay 20.0days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

Explore J1437 claims analytics on FocalPoint →
OnPoint Oncology

Monoferric 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)
JW / JZ modifiers apply

CMS has identified Monoferric (J1437) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

Monoferric Medically Unlikely Edits (MUE)

The most billing units of J1437 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.

Practitioner Office & Hospital Outpatient
100 units / day
= 1,000 mg 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 →

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

Monoferric 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.

Iron Deficiency Anemia

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Frequently Asked Questions

Is there an available Monoferric billing and coding guide?
Billing and coding information for Monoferric can be found through Pharmacosmos. Visit Here →
Are there any available Monoferric patient assistance programs?
Monoferric patient assistance information can be found through Pharmacosmos. Visit Here →
Where can I find Monoferric prescribing information?
Monoferric prescribing information can be found at the link below: Visit Here →
Where can I find Monoferric side effect information?
Information regarding Monoferric's side effects can be found at MedlinePlus Visit Here →
Does billing Monoferric require JZ/JW wastage modifiers?
CMS has identified Monoferric(J1437) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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Related Drug Codes

Explore billing, coding, and pricing for drugs related to Monoferric.

J1439INJECTAFERInjection, ferric carboxymaltose, 1 mgAmerican RegentAdded January 1, 2015J1750INFEDInjection, iron dextran, 50 mgAllerganAdded December 31, 2005Q0138FERAHEMEInjection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)Multiple ManufacturersAdded January 1, 2010Q0139FERAHEMEInjection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis)Multiple ManufacturersAdded January 1, 2010J0889DAPRODUSTATDaprodustat, oral, 1 mg, (for esrd on dialysis)Added October 1, 2023J0890PEGINESATIDEInjection, peginesatide, 0.1 mg (for esrd on dialysis)Added January 1, 2013J0896REBLOZYLInjection, luspatercept-aamt, 0.25 mgCelgeneAdded July 1, 2020J0901VAFSEOVadadustat, oral, 1 mg (for esrd on dialysis)Akebia TherapeuticsAdded January 1, 2025J1443TRIFERICInjection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of ironRockwell MedicalAdded January 1, 2016J1445TRIFERIC AVNUInjection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of ironRockwell MedicalAdded October 1, 2021