HCPCS drug code · CMS crosswalk
Hemofil M J-Code / HCPCS Code
In short
Hemofil M is billed under HCPCS J7190 — Factor viii (antihemophilic factor, human) per i.u.. One billing unit is 1 IU. CMS's crosswalk lists 4 Hemofil M NDCs under this code.
Reference
- J7190
- Factor viii (antihemophilic factor, human) per i.u.Billing unit: 1 IU
- Labelers
- Takeda Pharmaceuticals America, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$1.248
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
Hemofil M units and claim line
Enter the dose given to get the J7190 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Hemofil M 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 |
|---|---|---|---|---|
| 00944-3940-02 | J7190 | Takeda Pharmaceuticals America, Inc. | 1 | 1 |
| 00944-3942-02 | J7190 | Takeda Pharmaceuticals America, Inc. | 1 | 1 |
| 00944-3944-02 | J7190 | Takeda Pharmaceuticals America, Inc. | 1 | 1 |
| 00944-3946-02 | J7190 | Takeda Pharmaceuticals America, Inc. | 1 | 1 |
Hemofil M: common questions
- What is the J-code for Hemofil M?
- Hemofil M is billed under HCPCS J7190 — Factor viii (antihemophilic factor, human) per i.u.. One billing unit is 1 IU. CMS's crosswalk lists 4 Hemofil M NDCs under this code.
- How many J7190 billing units are in a package of Hemofil M?
- 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 J7190 a CPT code?
- No. J7190 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.
Other codes for the same drug
- J7175Injection, factor x, (human), 1 i.u.
- J7180Injection, factor xiii (antihemophilic factor, human), 1 i.u.
- J7181Injection, factor xiii a-subunit, (recombinant), per iu
- J7182Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu
- J7185Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.
- J7188Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u.
- J7189Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram
- J7191Factor viii (antihemophilic factor (porcine)), per i.u.
- J7192Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified
- J7193Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.