In short

Sevenfact is billed under HCPCS J7212 — Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram. One billing unit is 1 mcg. CMS's crosswalk lists 3 Sevenfact NDCs under this code.

J7212 code details

Reference

J7212
Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgramBilling unit: 1 mcg
Labelers
Hema Biologics

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$2.25
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

Sevenfact units and claim line

Enter the dose given to get the J7212 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Sevenfact 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.

Sevenfact NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
71127-1000-01J7212Hema Biologics11000
71127-2000-01J7212Hema Biologics12000
71127-5000-01J7212Hema Biologics15000

Sevenfact: common questions

What is the J-code for Sevenfact?
Sevenfact is billed under HCPCS J7212 — Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram. One billing unit is 1 mcg. CMS's crosswalk lists 3 Sevenfact NDCs under this code.
How many J7212 billing units are in a package of Sevenfact?
CMS lists 1,000 to 5,000 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 J7212 a CPT code?
No. J7212 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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