ELOCTATE J Code: J7205
Injection, factor viii fc fusion protein (recombinant), per iu
Q4 2026 Medicare Payment Limit for J7205, effective October 1, 2026: $2.557 per HCPCS billing unit, down 0.8% from $2.578. From CMS's final file.
Drug & Product Overview
About ELOCTATE
Eloctate is a medication aligned to the HCPCS J Code: J7205 for billing, pricing, and reimbursement purposes in the United States. Classified under Hematology, it is administered via the intravenous route and manufactured by Bioverativ Therapeutics.
According to CMS Drug Use Information: This medication is used to control and prevent bleeding that happens to people (usually males) with an inherited medical condition, hemophilia A (low levels of factor VIII). It is also given before surgery to prevent too much bleeding in people with this condition. Factor VIII is a protein (clotting factor) that is in normal blood, and helps form blood clots and stop bleeding after an injury. People with low factor VIII levels may bleed longer than normal after an injury/surgery and may have bleeding inside the body (especially in the joints and muscles). This medication contains man-made factor VIII (antihemophilic factor) to temporarily replace factor VIII in the body, connected to an antibody (immunoglobulin) that helps the man-made factor VIII work longer. When used to control and prevent bleeding, this medication may help relieve pain and long-term damage caused by hemophilia A. 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 10 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 71104-0801-01 | Eloctate | Bioverativ Therapeutics Inc. | 1 | Kit |
| 71104-0802-01 | Eloctate | Bioverativ Therapeutics Inc. | 1 | Kit |
| 71104-0803-01 | Eloctate | Bioverativ Therapeutics Inc. | 1 | Kit |
| 71104-0804-01 | Eloctate | Bioverativ Therapeutics Inc. | 1 | Kit |
| 71104-0805-01 | Eloctate | Bioverativ Therapeutics Inc. | 1 | Kit |
| •••••-••••-•• Log in to view | ELOCTATE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | ELOCTATE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | ELOCTATE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
ELOCTATE Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →ELOCTATE 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) |
CMS has identified Eloctate (J7205) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
ELOCTATE Medically Unlikely Edits (MUE)
The most billing units of J7205 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 iu.
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 →
ELOCTATE Clinical Information
Indications and drug classification.
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.
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Frequently Asked Questions
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Does billing ELOCTATE require JZ/JW wastage modifiers?
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