Home Drug Codes J Codes J7207 · ADYNOVATE
Updated July 1st, 2026

ADYNOVATE J Code: J7207

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

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Q4 2026 Medicare Payment Limit for J7207, effective October 1, 2026: $2.185 per HCPCS billing unit, up 3.1% from $2.119. From CMS's final file.

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Medicare Payment Limit ?
$2.119
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$2.119
/ HCPCS billing unit · APC 1844
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
14
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Drug & Product Overview

HCPCS Descriptor Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.
HCPCS Added Date January 1, 2017
Manufacturer Takeda Pharmaceuticals
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Kit

About ADYNOVATE

Adynovate is a medication aligned to the HCPCS J Code: J7207 for billing, pricing, and reimbursement purposes in the United States. It is a Hematology drug administered via the intravenous route and manufactured by Takeda Pharmaceuticals.

According to CMS Drug Use Information: This medication is used to control and prevent bleeding episodes in people with low levels of factor VIII (hemophilia A). It is also used in these patients before surgery to prevent bleeding. People with low factor VIII levels are at risk for bleeding longer after an injury/surgery and for bleeding inside the body (especially into the joints and muscles). This product contains a man-made form of factor VIII, also called antihemophilic factor. This product is used to temporarily replace the missing factor VIII, a protein (clotting factor) that is normally in the blood, so that the blood can clot and the bleeding can stop. This medication should not be used to treat von Willebrand disease.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 14 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00944-4622-01 Adynovate Takeda Pharmaceuticals Amercia, Inc. 1 Kit
00944-4623-01 Adynovate Takeda Pharmaceuticals Amercia, Inc. 1 Kit
00944-4624-01 Adynovate Takeda Pharmaceuticals Amercia, Inc. 1 Kit
00944-4625-01 Adynovate Takeda Pharmaceuticals Amercia, Inc. 1 Kit
00944-4626-01 Adynovate Takeda Pharmaceuticals Amercia, Inc. 1 Kit
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ADYNOVATE
ADYNOVATE
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ADYNOVATE Pricing & Reimbursement

J7207 Private Payer Reimbursement
$2.12 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

ADYNOVATE CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
JW / JZ modifiers apply

CMS has identified Adynovate (J7207) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ADYNOVATE Medically Unlikely Edits (MUE)

The most billing units of J7207 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 iu.

Practitioner Office & Hospital Outpatient
22,500 units / day
= 22,500 iu per day

MAI 1 · Line Edit. Per-line limit: units are checked per claim line; medically necessary units beyond the limit may be billable on separate lines with appropriate modifiers. See all MUE limits →

iu Enter a dose to see how many billing units it is and whether it is under the limit.

ADYNOVATE Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Hemophilia A (congenital factor VIII deficiency)

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Frequently Asked Questions

Is there an available Adynovate billing and coding guide?
Billing and coding information for ADYNOVATE can be found through Baxalta. Visit Here →
Are there any available Adynovate patient assistance programs?
ADYNOVATE patient assistance information can be found through Baxalta. Visit Here →
Where can I find Adynovate prescribing information?
ADYNOVATE prescribing information can be found at the link below: Visit Here →
Where can I find Adynovate side effect information?
Our team has not yet identified a source of side effects information for ADYNOVATE. Please check back in a few weeks.
Does billing ADYNOVATE require JZ/JW wastage modifiers?
CMS has identified ADYNOVATE(J7207) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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