HCPCS drug code · CMS crosswalk
Vpriv J-Code / HCPCS Code
In short
Vpriv is billed under HCPCS J3385 — Injection, velaglucerase alfa, 100 units. One billing unit is 100 units. CMS's crosswalk lists 1 Vpriv NDC under this code.
Reference
- J3385
- Injection, velaglucerase alfa, 100 unitsBilling unit: 100 units
- Labelers
- Takeda Pharmaceuticals America, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$393.929
Per100 units
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
Vpriv units and claim line
Enter the dose given to get the J3385 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Vpriv 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 |
|---|---|---|---|---|
| 54092-0701-04 | J3385 | Takeda Pharmaceuticals America, Inc. | 1 | 4 |
Vpriv: common questions
- What is the J-code for Vpriv?
- Vpriv is billed under HCPCS J3385 — Injection, velaglucerase alfa, 100 units. One billing unit is 100 units. CMS's crosswalk lists 1 Vpriv NDC under this code.
- How many J3385 billing units are in a package of Vpriv?
- CMS lists 4 billing units per package, depending on the NDC, where one unit is 100 units. Units to report are based on the dose given, not the package.
- Is J3385 a CPT code?
- No. J3385 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.