No. J7208 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 J7208?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 5 NDCs under J7208, for Jivi. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J7208?

$2.744 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.

J7208 J-Code: Jivi (factor viii) — Billing Units & NDCs

In short

J7208 is the HCPCS Level II code for injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. CMS assigns NDCs for Jivi to it. The Medicare Part B payment limit is $2.744 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ7208

Billing unitSee descriptor

Descriptor: Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.
Short descriptor: Inj. jivi 1 iu
Code set: HCPCS Level II, maintained by CMS
Effective: Jul 1, 2019

Medicare Part B payment limit

CMS ASP file

Payment limit per unit$2.744

Per1 iu

Coinsurance19.449%

Effective 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

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 J7208

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 5 NDCs to J7208 for Jivi. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J7208 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Jivi	00026-3942-25	Bayer HealthCare Pharmaceuticals Inc.	1	1
Jivi	00026-3944-25	Bayer HealthCare Pharmaceuticals Inc.	1	1
Jivi	00026-3946-25	Bayer HealthCare Pharmaceuticals Inc.	1	1
Jivi	00026-3948-25	Bayer HealthCare Pharmaceuticals Inc.	1	1
Jivi	00026-3950-50	Bayer HealthCare Pharmaceuticals Inc.	1	1

J7208: common questions

Is J7208 a CPT code?: No. J7208 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 J7208?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 5 NDCs under J7208, for Jivi. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J7208?: $2.744 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.

J7208 — Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.