HCPCS Level II › J codes J1808 Inj, folic acid, 0.1 mgInjection, folic acid, 0.1 mg
Medicare coverage: Special coverage instructions apply Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 150 units per day (clinical), rationale: Prescribing Information Outpatient hospital: max 150 units per day (clinical), rationale: Prescribing Information DME supplier: max 150 units per day (clinical), rationale: Prescribing Information Medicare pricing for J1808 Medicare Part B drug payment limit (ASP, October 2026) J1808 payment limit: $0.053 per 0.1 MG, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 20%.
NDCs that bill under J1808 (CMS ASP NDC-HCPCS crosswalk, October 2026) 63323-0184-10 Folic Acid, FreseniUS Kabi USA, LLC: 500 billing units per package (1 VIAL, MULTI-DOSE in 1 CARTON / 10 mL in 1 VIAL, MULTI-DOSE)39822-1100-01 Folic Acid, XGen Pharmaceuticals DJB, Inc.: 500 billing units per package (1 VIAL, MULTI-DOSE in 1 CARTON / 10 mL in 1 VIAL, MULTI-DOSE)Physician Fee Schedule (CY 2026, RVU26D) Status E: excluded from the PFS by regulation.
Payer policies and prior authorization for J1808 Payer coverage policies that name J1808 J1808 appears in 2 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Gout (0810) listed, no stance Mar 27, 2026 payer document Aetna Injectable Medications (0020) listed, no stance (range J0278-J2543) Mar 5, 2026 payer document
Medicaid fee-for-service AZ: $0.05 (outpatient_hospital), effective Jan 1, 2026 FL: $15.00 (physician_administered_drugs), effective Jan 1, 2026 IL: $8.10 (practitioner), effective Apr 1, 2026 IN: $0.05 (professional, Advanced Practice Nurse (85%), non-facility), effective Apr 1, 2025 KS: $0.05 (default), effective Jan 1, 2026 MA: $0.05 (dme_rates), effective Mar 1, 2026 MS: $0.05 (comprehensive), effective Jul 1, 2026 NE: $0.05 (injectables), effective Jul 1, 2026 OH: $0.05 (provider_administered_drugs), effective Jan 1, 2026 OK: $0.05 (physician, non-facility), effective Jul 1, 2026 TX: $0.06 (healthy_texas_women, Clinic/Group Practice, non-facility), effective Apr 1, 2025 VA: $0.05 (medical), effective Jan 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $0.05 (professional_administered_drugs), effective Jul 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026 From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.