J0604 HCPCS Level II Code: Cinacalcet, oral, 1 mg, (for ESRD on dialysis)
Medicare Coverage & Payment
- CMS short descriptor: Cinacalcet, esrd on dialysis
- Medicare coverage: Special coverage instructions apply (CMS coverage code D)
- Payment category: Drugs (pricing indicator 51)
- BETOS: O1E — Other drugs
- Last CMS action effective: January 1, 2018
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Change history
- January 1, 2018Added to the code setCinacalcet, oral, 1 mg, (for esrd on dialysis)
Contextual Map
Every relationship of J0604 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- J0600 — Injection, edetate calcium disodium, up to 1000 mg[Sibling]
- J0601 — Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)[Sibling]
- J0602 — Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis)[Sibling]
- J0603 — Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)[Sibling]
- J0605 — Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis)[Sibling]
- J0606 — Injection, etelcalcetide, 0.1 mg[Sibling]
- J0607 — Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)[Sibling]
- J0608 — Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis)[Sibling]
- and 32 more
Change history
- January 1, 2018 — Added to the code set [Change history]
Nearest Codes in This Family
Official HCPCS Level II classifications closest to J0604 in its code family, with their registry titles.
- J0600 — Injection, edetate calcium disodium, up to 1000 mg
- J0601 — Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)
- J0602 — Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis)
- J0603 — Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)
- J0605 — Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis)
- J0606 — Injection, etelcalcetide, 0.1 mg
- J0607 — Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)
- J0608 — Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis)
- J0609 — Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis)
- J0610 — Injection, calcium gluconate (fresenius kabi), per 10 ml