HCPCS drug code · CMS crosswalk
Panhematin J-Code / HCPCS Code
In short
Panhematin is billed under HCPCS J1640 — Injection, hemin, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Panhematin NDC under this code.
Reference
- J1640
- Injection, hemin, 1 mgBilling unit: 1 mg
- Labelers
- Recordati Rare Diseases 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
Panhematin units and claim line
Enter the dose given to get the J1640 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Panhematin 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 |
|---|---|---|---|---|
| 55292-0702-55 | J1640 | Recordati Rare Diseases Inc. | 1 | 336 |
Panhematin: common questions
- What is the J-code for Panhematin?
- Panhematin is billed under HCPCS J1640 — Injection, hemin, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Panhematin NDC under this code.
- How many J1640 billing units are in a package of Panhematin?
- CMS lists 336 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
- Is J1640 a CPT code?
- No. J1640 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.