HCPCS drug code · CMS crosswalk
Recombi J-Code / HCPCS Code
In short
Recombi is billed under HCPCS J7203 — Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu. One billing unit is 1 IU. CMS's crosswalk lists 1 Recombi NDC under this code.
Reference
- J7203
- Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iuBilling unit: 1 IU
- Labelers
- Novo Nordisk, 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. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Recombi units and claim line
Enter the dose given to get the J7203 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Recombi 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 |
|---|---|---|---|---|
| 00169-7903-01 | J7203 | Novo Nordisk, Inc | 1 | 1 |
Recombi: common questions
- What is the J-code for Recombi?
- Recombi is billed under HCPCS J7203 — Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu. One billing unit is 1 IU. CMS's crosswalk lists 1 Recombi NDC under this code.
- How many J7203 billing units are in a package of Recombi?
- 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 J7203 a CPT code?
- No. J7203 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.