HCPCS drug code · CMS crosswalk
Ixinity J-Code / HCPCS Code
In short
Ixinity is billed under HCPCS J7213 — Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.. One billing unit is 1 IU. CMS's crosswalk lists 4 Ixinity NDCs under this code.
Reference
- J7213
- Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.Billing unit: 1 IU
- Labelers
- Medexus Pharma, Inc.
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
Ixinity units and claim line
Enter the dose given to get the J7213 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Ixinity 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 |
|---|---|---|---|---|
| 59137-0282-05 | J7213 | Medexus Pharma, Inc. | 1 | 1 |
| 59137-0283-05 | J7213 | Medexus Pharma, Inc. | 1 | 1 |
| 59137-0284-05 | J7213 | Medexus Pharma, Inc. | 1 | 1 |
| 59137-0289-05 | J7213 | Medexus Pharma, Inc. | 1 | 1 |
Ixinity: common questions
- What is the J-code for Ixinity?
- Ixinity is billed under HCPCS J7213 — Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.. One billing unit is 1 IU. CMS's crosswalk lists 4 Ixinity NDCs under this code.
- How many J7213 billing units are in a package of Ixinity?
- 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 J7213 a CPT code?
- No. J7213 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.