Home Drug Codes J Codes J0840 · CROFAB
Updated July 1st, 2026

CROFAB J Code: J0840

Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram

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Q4 2026 Medicare Payment Limit for J0840, effective October 1, 2026: $2,044.383 per HCPCS billing unit, up 7.2% from $1,906.906. From CMS's final file.

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Medicare Payment Limit ?
$1,906.906
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$1,906.906
/ HCPCS billing unit · APC 9274
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram
HCPCS Added Date January 1, 2012
Manufacturer BTG International
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Form Injection, Powder, Lyophilized, For Solution

About CROFAB

Crofab is a medication aligned to the HCPCS J Code: J0840 for billing, pricing, and reimbursement purposes in the United States. This Immunology medication is administered via the intravenous route and manufactured by BTG International.

According to CMS Drug Use Information: Drug uses not available

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. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
50633-0110-12 CroFab BTG International Inc. 2 CroFab Intravenous Inj ection 1 G/1 - 2… Login for More
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CROFAB Pricing & Reimbursement

J0840 Private Payer Reimbursement
$1,836.08 / 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

CROFAB 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 Crofab (J0840) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

CROFAB Medically Unlikely Edits (MUE)

The most billing units of J0840 Medicare will pay for one patient in one day, as published by CMS. 1 unit = up to 1 gm. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
6 units / day
Physician office · clinic
Hospital Outpatient
18 units / day
Outpatient hospital · OPPS

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

CROFAB 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.

North American pit viper envenomation
Drug Class
Antivenin [EPC]Antivenins [Chemical/Ingredient]Passively Acquired Immunity [PE]Venom Neutralization [MoA]

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Frequently Asked Questions

Is there an available Crofab billing and coding guide?
Billing and coding information for CROFAB can be found through BTG International. Visit Here →
Are there any available Crofab patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for CROFAB.
Where can I find Crofab prescribing information?
CROFAB prescribing information can be found at the link below: Visit Here →
Where can I find Crofab side effect information?
Our team has not yet identified a source of side effects information for CROFAB. Please check back in a few weeks.
Does billing CROFAB require JZ/JW wastage modifiers?
CMS has identified CROFAB(J0840) 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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