HCPCS drug code · CMS crosswalk
Berinert J-Code / HCPCS Code
In short
Berinert is billed under HCPCS J0597 — Injection, c-1 esterase inhibitor (human), berinert, 10 units. One billing unit is 10 units. CMS's crosswalk lists 1 Berinert NDC under this code.
Reference
- J0597
- Injection, c-1 esterase inhibitor (human), berinert, 10 unitsBilling unit: 10 units
- Labelers
- CSL Behring L.L.C.
Medicare Part B payment limit
CMS ASP fileEffective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Berinert units and claim line
Enter the dose given to get the J0597 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Berinert 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 |
|---|---|---|---|---|
| 63833-0825-02 | J0597 | CSL Behring L.L.C. | 1 | 50 |
Berinert: common questions
- What is the J-code for Berinert?
- Berinert is billed under HCPCS J0597 — Injection, c-1 esterase inhibitor (human), berinert, 10 units. One billing unit is 10 units. CMS's crosswalk lists 1 Berinert NDC under this code.
- How many J0597 billing units are in a package of Berinert?
- CMS lists 50 billing units per package, depending on the NDC, where one unit is 10 units. Units to report are based on the dose given, not the package.
- Is J0597 a CPT code?
- No. J0597 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.