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Updated October 1st, 2026

JIVI J Code: J7208

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

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Medicare Payment Limit ?
$2.744
/ HCPCS billing unit
APC Payment Limit ?
$2.744
/ HCPCS billing unit · APC 9299
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
5
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Drug & Product Overview

HCPCS Descriptor Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.
HCPCS Added Date July 1, 2019
Manufacturer Bayer Pharmaceutical
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Kit

About JIVI

JIVI is a medication aligned to the HCPCS J Code: J7208 for billing, pricing, and reimbursement purposes in the United States. Classified under Hematology, it is administered via the intravenous route and manufactured by Bayer Pharmaceutical.

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. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00026-3942-25 Jivi Bayer HealthCare LLC 1 Kit
00026-3944-25 Jivi Bayer HealthCare LLC 1 Kit
00026-3946-25 Jivi Bayer HealthCare LLC 1 Kit
00026-3948-25 Jivi Bayer HealthCare LLC 1 Kit
00026-3950-50 Jivi Bayer HealthCare LLC 1 Kit
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JIVI Pricing & Reimbursement

J7208 Private Payer Reimbursement
$2.50 / 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 Q4 2026

JIVI 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 JIVI (J7208) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

JIVI Medically Unlikely Edits (MUE)

The most billing units of J7208 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 iu. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
12,000 units / day
= 12,000 iu per day
Hospital Outpatient
18,000 units / day
= 18,000 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.

JIVI 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 Jivi billing and coding guide?
Billing and coding information for JIVI can be found through Bayer. Visit Here →
Are there any available Jivi patient assistance programs?
JIVI patient assistance information can be found through Bayer. Visit Here →
Where can I find Jivi prescribing information?
JIVI prescribing information can be found at the link below: Visit Here →
Where can I find Jivi side effect information?
Our team has not yet identified a source of side effects information for JIVI. Please check back in a few weeks.
Does billing JIVI require JZ/JW wastage modifiers?
CMS has identified JIVI(J7208) 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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