HCPCS drug code · CMS crosswalk
Alhemo J-Code / HCPCS Code
In short
Alhemo is billed under HCPCS J7173 — Injection, concizumab-mtci, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 3 Alhemo NDCs under this code.
Reference
- J7173
- Injection, concizumab-mtci, 0.5 mgBilling unit: 0.5 mg
- Labelers
- Novo Nordisk, Inc
Medicare Part B payment limit
CMS ASP filePayment limit per unit$84.782
Per0.5 mg
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
Alhemo units and claim line
Enter the dose given to get the J7173 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Alhemo 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.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 00169-2080-15 | J7173 | Novo Nordisk, Inc | 1.5 | 300 |
| 00169-2081-03 | J7173 | Novo Nordisk, Inc | 3 | 600 |
| 00169-2084-15 | J7173 | Novo Nordisk, Inc | 1.5 | 120 |
Alhemo: common questions
- What is the J-code for Alhemo?
- Alhemo is billed under HCPCS J7173 — Injection, concizumab-mtci, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 3 Alhemo NDCs under this code.
- How many J7173 billing units are in a package of Alhemo?
- CMS lists 120 to 600 billing units per package, depending on the NDC, where one unit is 0.5 mg. Units to report are based on the dose given, not the package.
- Is J7173 a CPT code?
- No. J7173 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.