HCPCS Level II
J0875
Injection, dalbavancin, 5 mg
Codes near J0875
These sit next to J0875 in the CMS Level II file. All J codes
- J0870Injection, imetelstat, 1 mg
- J0871Injection, daptomycin (endo), not therapeutically equivalent to j0878, 1 mg
- J0872Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg
- J0873Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg
- J0874Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg
- J0877Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg
- J0878Injection, daptomycin, 1 mg
- J0879Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)
- J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)
- J0882Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)
NDC crosswalk
| NDC | Drug | Labeler | Billable units |
|---|---|---|---|
| 00480-3325-01 | Dalbavacin HCl | Teva Pharmaceuticals USA, Inc. | 100 |
| 57970-0100-01 | Dalvance | Allergan, Inc. | 100 |
| 65219-0120-12 | Dalvavancin | FreseniUS Kabi USA, LLC | 100 |
| 71288-0034-50 | Dalbavancin | Meitheal Pharmaceuticals Inc. | 100 |
| 81298-2390-01 | Dalbavancin | Long Grove Pharmaceuticals, LLC | 100 |
Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.
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