In short

Novoseven RT is billed under HCPCS J7189 — Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram. One billing unit is 1 mcg. CMS's crosswalk lists 4 Novoseven RT NDCs under this code.

J7189 code details

Reference

J7189
Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgramBilling unit: 1 mcg
Labelers
Novo Nordisk, Inc

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$2.774
Per1 mcg
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

Novoseven RT units and claim line

Enter the dose given to get the J7189 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Novoseven RT 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.

Novoseven RT NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00169-7201-01J7189Novo Nordisk, Inc11000
00169-7202-01J7189Novo Nordisk, Inc12000
00169-7205-01J7189Novo Nordisk, Inc15000
00169-7208-01J7189Novo Nordisk, Inc18000

Novoseven RT: common questions

What is the J-code for Novoseven RT?
Novoseven RT is billed under HCPCS J7189 — Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram. One billing unit is 1 mcg. CMS's crosswalk lists 4 Novoseven RT NDCs under this code.
How many J7189 billing units are in a package of Novoseven RT?
CMS lists 1,000 to 8,000 billing units per package, depending on the NDC, where one unit is 1 mcg. Units to report are based on the dose given, not the package.
Is J7189 a CPT code?
No. J7189 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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