No. J7207 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code.

What NDCs are billed under J7207?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 7 NDCs under J7207, for Adynovate. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J7207?

$2.185 per 1 iu, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.

J7207 J-Code: Adynovate (factor viii) — Billing Units

In short

J7207 is the HCPCS Level II code for injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. CMS assigns NDCs for Adynovate to it. The Medicare Part B payment limit is $2.185 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ7207

Billing unitSee descriptor

Descriptor: Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.
Short descriptor: Factor viii pegylated recomb
Code set: HCPCS Level II, maintained by CMS
Effective: Jan 1, 2017

Medicare Part B payment limit

CMS ASP file

Payment limit per unit$2.185

Per1 iu

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

Units and claim line

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

HCPCS units

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the units to build the claim line.

NDCs billed under J7207

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 7 NDCs to J7207 for Adynovate. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J7207 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Adynovate	00944-4622-01	Takeda Pharmaceuticals America, Inc.	1	1
Adynovate	00944-4623-01	Takeda Pharmaceuticals America, Inc.	1	1
Adynovate	00944-4624-01	Takeda Pharmaceuticals America, Inc.	1	1
Adynovate	00944-4625-01	Takeda Pharmaceuticals America, Inc.	1	1
Adynovate	00944-4626-01	Takeda Pharmaceuticals America, Inc.	1	1
Adynovate	00944-4627-01	Takeda Pharmaceuticals America, Inc.	1	1
Adynovate	00944-4628-01	Takeda Pharmaceuticals America, Inc.	1	1

J7207: common questions

Is J7207 a CPT code?: No. J7207 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What NDCs are billed under J7207?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 7 NDCs under J7207, for Adynovate. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J7207?: $2.185 per 1 iu, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.

J7207 — Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.