HCPCS drug code · CMS crosswalk
Thrombate III J-Code / HCPCS Code
In short
Thrombate III is billed under HCPCS J7197 — Antithrombin iii (human), per i.u.. One billing unit is 1 IU. CMS's crosswalk lists 2 Thrombate III NDCs under this code.
Reference
- J7197
- Antithrombin iii (human), per i.u.Billing unit: 1 IU
- Labelers
- Grifols USA, LLC
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
Thrombate III units and claim line
Enter the dose given to get the J7197 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Thrombate III 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 |
|---|---|---|---|---|
| 13533-0602-50 | J7197 | Grifols USA, LLC | 1 | 1 |
| 13533-0606-12 | J7197 | Grifols USA, LLC | 1 | 1 |
Thrombate III: common questions
- What is the J-code for Thrombate III?
- Thrombate III is billed under HCPCS J7197 — Antithrombin iii (human), per i.u.. One billing unit is 1 IU. CMS's crosswalk lists 2 Thrombate III NDCs under this code.
- How many J7197 billing units are in a package of Thrombate III?
- 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 J7197 a CPT code?
- No. J7197 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.