In short

Jivi is billed under HCPCS J7208 — Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.. One billing unit is 1 IU. CMS's crosswalk lists 5 Jivi NDCs under this code.

J7208 code details

Reference

J7208
Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.Billing unit: 1 IU
Labelers
Bayer HealthCare Pharmaceuticals Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$2.744
Per1 iu
Coinsurance19.449%

Effective 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

Jivi units and claim line

Enter the dose given to get the J7208 units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

Jivi 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.

Jivi NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00026-3942-25J7208Bayer HealthCare Pharmaceuticals Inc.11
00026-3944-25J7208Bayer HealthCare Pharmaceuticals Inc.11
00026-3946-25J7208Bayer HealthCare Pharmaceuticals Inc.11
00026-3948-25J7208Bayer HealthCare Pharmaceuticals Inc.11
00026-3950-50J7208Bayer HealthCare Pharmaceuticals Inc.11

Jivi: common questions

What is the J-code for Jivi?
Jivi is billed under HCPCS J7208 — Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.. One billing unit is 1 IU. CMS's crosswalk lists 5 Jivi NDCs under this code.
How many J7208 billing units are in a package of Jivi?
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 J7208 a CPT code?
No. J7208 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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