VENOFER J Code: J1756

Drug & Product Overview

HCPCS Descriptor Injection, iron sucrose, 1 mg

HCPCS Added Date January 1, 2003

Manufacturer Multiple Manufacturers

Route of Administration Intravenous, Intravitreal

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection | Injection, Solution | Not Available

About VENOFER

Venofer is a medication aligned to the HCPCS J Code: J1756 for billing, pricing, and reimbursement purposes in the United States. It is an Anti-Anemia drug administered via the intravenous or intravitreal routes and manufactured by multiple companies.

According to CMS Drug Use Information: This medicine is used to treat "iron-poor" blood (anemia) in people with long-term kidney disease. You may need extra iron because of blood loss during kidney dialysis. Your body may also need more iron if you use the drug erythropoietin to help make new red blood cells. Iron is an important part of your red blood cells and is needed to transport oxygen in the body. Many patients with kidney disease cannot get enough iron from food and require injections.

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	WAC	AWP
00517-2310-01	Venofer	American Regent	200	20 MG	$129.88$0.649 / unit	$155.86$0.779 / unit
00517-2310-05	Venofer	American Regent, Inc.	1000	200 MG / 10 ML	$649.40$0.649 / unit	$779.28$0.779 / unit
00517-2325-10	Venofer	American Regent, Inc.	500	50 MG / 2.5 ML	$324.80$0.65 / unit	$389.76$0.78 / unit
00517-2340-01	Venofer	American Regent, Inc.	100	100 MG / 5 ML	$64.95$0.65 / unit	$78.83$0.788 / unit
00517-2340-10	Venofer	American Regent, Inc.	1000	100 MG / 5 ML	$649.50$0.65 / unit	$779.40$0.779 / unit
00517-2340-25	Venofer	American Regent, Inc.	2500	100 MG / 5 ML	$1,623.75$0.65 / unit	$1,948.50$0.779 / unit
00517-2340-99	Venofer	American Regent, Inc.	1000	100 MG / 5 ML	$368.00$0.368 / unit	$441.60$0.442 / unit

Effective 8/1/25 (WAC & AWP)

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VENOFER Pricing & Reimbursement

J1756 Private Payer Reimbursement

$0.61 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

VENOFER Claims Performance

Claims from Jan 2026 – Aug 2026

Claim Denial Rate 9.88%

Avg. Days to File 5.8days

Avg. Days to Pay 18.8days

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

Explore J1756 claims analytics on FocalPoint →

VENOFER CPT Administration Codes

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 Venofer (J1756) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

VENOFER Medically Unlikely Edits (MUE)

The most billing units of J1756 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient

500 units / day

= 500 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 →

VENOFER 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 in Chronic Kidney Disease Iron deficiency anemia in chronic kidney disease

Drug Class

Iron [CS]Parenteral Iron Replacement [EPC]Phosphate Binder [EPC]Phosphate Chelating Activity [MoA]

Frequently Asked Questions

Is there an available Venofer billing and coding guide?

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

Are there any available Venofer patient assistance programs?

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

Where can I find Venofer prescribing information?

VENOFER 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 Venofer side effect information?

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

Does billing VENOFER require JZ/JW wastage modifiers?

CMS has identified VENOFER(J1756) 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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