In short

Hemlibra is billed under HCPCS J7170 — Injection, emicizumab-kxwh, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 6 Hemlibra NDCs under this code.

J7170 code details

Reference

J7170
Injection, emicizumab-kxwh, 0.5 mgBilling unit: 0.5 mg
Labelers
Genentech, Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$58.114
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

Hemlibra units and claim line

Enter the dose given to get the J7170 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Hemlibra 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.

Hemlibra NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
50242-0920-01J7170Genentech, Inc.160
50242-0921-01J7170Genentech, Inc.0.4120
50242-0922-01J7170Genentech, Inc.0.7210
50242-0923-01J7170Genentech, Inc.1300
50242-0927-01J7170Genentech, Inc.0.424
50242-0930-01J7170Genentech, Inc.2600

Hemlibra: common questions

What is the J-code for Hemlibra?
Hemlibra is billed under HCPCS J7170 — Injection, emicizumab-kxwh, 0.5 mg. One billing unit is 0.5 mg. CMS's crosswalk lists 6 Hemlibra NDCs under this code.
How many J7170 billing units are in a package of Hemlibra?
CMS lists 24 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 J7170 a CPT code?
No. J7170 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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