J0884 NDC Crosswalk, Billing Units, ASP Payment & Medicare Reimbursement

📋 J0884 summary

J0884 is a HCPCS Level II J-code used to bill argatroban, 1 mg (for esrd on dialysis), billed per 1 MG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.

Code J0884 Billing unit 1 MG Payment limit $0.864/unit NDC-Crosswalk 11 Quarter Q3 2026 RxCUI Atlas Trace the drug concept →

⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.

🗂️ Key billing facts

HCPCS codeJ0884

DescriptorInjection, argatroban, 1 mg (for esrd on dialysis)

Billing unit1 MG

Payment limit / unit$0.864

Est. ASP / unit$0.815 est.

Mapped NDCs11

Data periodQ3 2026

Last updated2026-08-20

💊 About Argatroban DRUG GUIDE

Argatroban injection is used to prevent or treat blood clots in adults who have heparin-induced thrombocytopenia (HIT) — a serious condition where the blood thinner heparin causes the body to form dangerous clots instead of preventing them.It is also used as an anticoagulant during percutaneous coronary intervention (PCI) — a procedure to open blocked heart arteries — in adults who have HIT or are at risk for it.

Read the full Argatroban drug guide →

Clinical overview from our editorial drug guide for Argatroban. For billing reference, see the sections above.

🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026

📅 Payment limits effective Q3 2026 — from the CMS Medicare Part B Payment Limit File (revised quarterly).

Medicare payment limit / unit

$0.864

Est. ASP / unit

$0.815 est.

Est. after 2% sequester

$0.847

HCPCS dosage

1 MG

The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly), Q3 2026.

Full HCPCS code details (official CMS record)

Long descriptionInjection, argatroban, 1 mg (for esrd on dialysis)

CoverageD — Special coverage instructions apply

Pricing indicator51 — Drug — priced under the ASP methodology

Type of service1 — Medical care

BETOS-2O1E

ASC payment groupYY

Action codeN — No maintenance this year

Effective date2018-01-01

Date added2017-01-01

Source: CMS HCPCS Level II code file (imported via admin).

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J0884 = 1 mg. Enter a regimen to convert dose → billing units and project a full course.

Dose per administration (mg) Frequency — every days Number of doses NDC / package billed (optional)

Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.

🔁 NDCs that bill under J0884 WITH EST. MEDICARE PAY

11 NDCs map to J0884. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($0.864/unit) × that package's bill units.

NDC (11-digit)	Drug	Labeler	Package	Strength	Bill units	Est. pay / pkg	NADAC / unit	Status	Source
00143-9377-01	Argatroban 50 mg/50mL INJECTION	Hikma	1 VIAL in 1 CARTON (0143-9377-01) / 50 mL...	50 mg/50mL	50	$43.20	—	● Active	CMS ASP
00143-9559-01	Argatroban 50 mg/50mL INJECTION	Hikma	1 VIAL in 1 CARTON (0143-9559-01) / 50 mL...	50 mg/50mL	50	$43.20	—	● Active	CMS ASP
00143-9674-01	Argatroban 250 mg/2.5mL INJECTION	Hikma	2.5 mL in 1 VIAL (0143-9674-01)	250 mg/2.5mL	250	$216.00	—	● Active	CMS ASP
00409-1140-01	Argatroban	Pfizer	—	—	250	$216.00	—	—	CMS ASP
25021-0414-50	Argatroban 1 mg/mL INJECTION, SOLUTION	Sagent	1 VIAL in 1 CARTON (25021-414-50) / 50 mL...	1 mg/mL	50	$43.20	—	● Active	CMS ASP
42023-0182-01	Argatroban 250 mg/2.5mL INJECTION	Par	1 VIAL in 1 CARTON (42023-182-01) / 2.5 m...	250 mg/2.5mL	250	$216.00	—	● Active	CMS ASP
42023-0182-89	Argatroban 250 mg/2.5mL INJECTION	Par	1 VIAL in 1 CARTON (42023-182-89) / 2.5 m...	250 mg/2.5mL	250	$216.00	—	● Active	CMS ASP
65145-0126-01	ARGATROBAN 50 mg/50mL INJECTION	Caplin	1 VIAL in 1 CARTON (65145-126-01) / 50 mL...	50 mg/50mL	50	$43.20	—	● Active	CMS ASP
65219-0429-50	Argatroban 50 mg/50mL INJECTION	Fresenius	1 VIAL in 1 CARTON (65219-429-50) / 50 mL...	50 mg/50mL	50	$43.20	—	● Active	CMS ASP
67457-0212-02	Argatroban 250 mg/2.5mL INJECTION, SOLUTION	Mylan	1 VIAL, GLASS in 1 CARTON (67457-212-02)...	250 mg/2.5mL	250	$216.00	—	● Active	CMS ASP
83301-0062-01	Argatroban 50 mg/50mL INJECTION	Mullan	1 VIAL, SINGLE-DOSE in 1 CARTON (83301-006...	50 mg/50mL	50	$43.20	—	● Active	CMS ASP

NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.

⚠️ Don't confuse J0884 with… RELATED CODES

Adjacent HCPCS codes that share an ingredient or formulation with J0884. Billing units and payment limits differ — confirm the exact code, strength and form before billing.

Code	Descriptor	Billing unit	Payment limit / unit	How it differs from J0884
J0883	Argatroban nonesrd use 1mg	1 MG	$0.864	Related ingredient or formulation — confirm strength, form and billing unit before substituting.

Related codes matched on shared ingredient (CMS Medicare Part B Spending feed). Billing units and payment limits from the CMS ASP Pricing File. Always verify the precise HCPCS code for the product and strength administered.

📈 Medicare Part B claims detail CMS PSPS · 2024

Calendar-year 2024 Medicare Part B fee-for-service activity for this HCPCS code, summed across all carriers, localities and specialties (CMS Physician/Supplier Procedure Summary). A “service” is one billed line/unit — not one claim — so counts run higher than claim counts.

Allowed charges

$38.00

Medicare paid

$29.79

Submitted services

40

Submitted charges

$360.00

Source: CMS Physician/Supplier Procedure Summary (PSPS), CY2024 — Medicare Part B carrier + DME fee-for-service claims (excludes Medicare Advantage). Figures are for the whole HCPCS code, which may cover uses beyond this drug. ⚠ CMS hides any figure covering fewer than 11 patients (a privacy rule), so totals — especially denials and low-volume codes — run a little low.

🗺️ Where J0884 is utilized

⏳

The geographic utilization map is building for this code — it aggregates millions of CMS Part B claim lines, then caches the result. Refresh in a moment; if it doesn’t appear, this code may have no reportable Part B utilization.

🗃️ Data sources & freshness

Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.

HCPCS code & descriptor

CMS HCPCS Level II code file

Loaded

Payment limit & billing unit

CMS Medicare Part B ASP Pricing File (quarterly)

Q3 2026 · as of 2026-08-20

NDC ↔ HCPCS crosswalk

CMS ASP NDC-HCPCS crosswalk

11 NDCs mapped

NADAC acquisition cost

CMS National Average Drug Acquisition Cost (weekly)

Not available for mapped NDCs

Utilization & spend

CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners

No reportable utilization

Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.

⚠️ Practical billing caveats

A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.

❓ J0884 billing FAQ

What is HCPCS code J0884?

J0884 is a HCPCS Level II J-code used to bill Injection, argatroban, 1 mg (for esrd on dialysis) under Medicare Part B and most medical (not pharmacy) benefits.

What is the billing unit for J0884?

One unit of J0884 represents 1 MG. Report the number of units equal to the dose administered divided by 1 MG.

How many units of J0884 should I bill?

Divide the dose administered by the code's unit size (1 MG) to get the number of billing units, then round per your payer's policy. The calculator on this page converts a dose into billing units and projects a full course.

How much does Medicare pay for J0884?

The Medicare Part B payment limit is $0.864 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $0.847 per unit. Payment limits are revised quarterly.

Which NDCs bill under J0884?

11 NDCs currently map to J0884 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.

Does a crosswalk mean J0884 is covered?

No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.

J0884 – Injection, argatroban, 1 mg (for esrd on dialysis) · NDC Crosswalk & Billing Units