In short

J7214 is the HCPCS Level II code for injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. CMS assigns NDCs for Altuviiio to it. The Medicare Part B payment limit is $4.656 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ7214
Billing unitSee descriptor
Descriptor
Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.
Short descriptor
Altuviiio per factor viii iu
Code set
HCPCS Level II, maintained by CMS
Effective
Oct 1, 2023

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$4.656
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.

Enter the units to build the claim line.

NDCs billed under J7214

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 6 NDCs to J7214 for Altuviiio. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J7214 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Altuviiio71104-0978-01Bioverativ Therapeutics Inc.11
Altuviiio71104-0979-01Bioverativ Therapeutics Inc.11
Altuviiio71104-0981-01Bioverativ Therapeutics Inc.11
Altuviiio71104-0982-01Bioverativ Therapeutics Inc.11
Altuviiio71104-0983-01Bioverativ Therapeutics Inc.11
Altuviiio71104-0984-01Bioverativ Therapeutics Inc.11

J7214: common questions

Is J7214 a CPT code?
No. J7214 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 J7214?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 6 NDCs under J7214, for Altuviiio. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J7214?
$4.656 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.

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