No. J7212 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 J7212?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 3 NDCs under J7212, for Sevenfact. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J7212?

$2.25 per 1 mcg, 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.

What is one billing unit of J7212?

One unit of J7212 is 1 microgram, as stated in the code's descriptor. Units to report = dose given ÷ 1 microgram.

J7212 J-Code: Sevenfact

In short

J7212 is the HCPCS Level II code for factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram. CMS assigns NDCs for Sevenfact to it. One billing unit is 1 microgram. The Medicare Part B payment limit is $2.25 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ7212

Billing unit1 microgram

Descriptor: Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram
Short descriptor: Factor viia recomb sevenfact
Code set: HCPCS Level II, maintained by CMS
Effective: Jan 1, 2021

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

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

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 J7212

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 3 NDCs to J7212 for Sevenfact. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J7212 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Sevenfact	71127-1000-01	Hema Biologics	1	1,000
Sevenfact	71127-2000-01	Hema Biologics	1	2,000
Sevenfact	71127-5000-01	Hema Biologics	1	5,000

J7212: common questions

Is J7212 a CPT code?: No. J7212 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 J7212?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 3 NDCs under J7212, for Sevenfact. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J7212?: $2.25 per 1 mcg, 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.
What is one billing unit of J7212?: One unit of J7212 is 1 microgram, as stated in the code's descriptor. Units to report = dose given ÷ 1 microgram. J-code billing units.

J7212 — Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram