In short

Adynovate is billed under HCPCS J7207 — Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.. One billing unit is 1 IU. CMS's crosswalk lists 7 Adynovate NDCs under this code.

J7207 code details

Reference

J7207
Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.Billing unit: 1 IU
Labelers
Takeda Pharmaceuticals America, Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$2.185
Per1 iu
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Adynovate units and claim line

Enter the dose given to get the J7207 units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

Adynovate NDCs and billing units

From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.

Adynovate NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00944-4622-01J7207Takeda Pharmaceuticals America, Inc.11
00944-4623-01J7207Takeda Pharmaceuticals America, Inc.11
00944-4624-01J7207Takeda Pharmaceuticals America, Inc.11
00944-4625-01J7207Takeda Pharmaceuticals America, Inc.11
00944-4626-01J7207Takeda Pharmaceuticals America, Inc.11
00944-4627-01J7207Takeda Pharmaceuticals America, Inc.11
00944-4628-01J7207Takeda Pharmaceuticals America, Inc.11

Adynovate: common questions

What is the J-code for Adynovate?
Adynovate is billed under HCPCS J7207 — Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.. One billing unit is 1 IU. CMS's crosswalk lists 7 Adynovate NDCs under this code.
How many J7207 billing units are in a package of Adynovate?
CMS lists 1 billing units per package, depending on the NDC, where one unit is 1 IU. Units to report are based on the dose given, not the package.
Is J7207 a CPT code?
No. J7207 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.

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