Home Drug Codes J Codes J7188 · OBIZUR
Updated July 1st, 2026

OBIZUR J Code: J7188

Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u.

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Q4 2026 Medicare Payment Limit for J7188, effective October 1, 2026: $3.236 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

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Medicare Payment Limit ?
$3.236
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$3.236
/ HCPCS billing unit · APC 1827
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u.
HCPCS Added Date January 1, 2016
Manufacturer Takeda Pharmaceuticals
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Kit

About OBIZUR

Obizur is a medication aligned to the HCPCS J Code: J7188 for billing, pricing, and reimbursement purposes in the United States. This Hematology medication is administered via the intravenous route and manufactured by Takeda Pharmaceuticals.

Manufacturers, reach out to us to add more information.

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
00944-5001-01 Obizur Takeda Pharmaceuticals America, Inc. 1 Kit
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OBIZUR Pricing & Reimbursement

J7188 Private Payer Reimbursement
$3.19 / 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

OBIZUR 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 Obizur (J7188) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

OBIZUR Medically Unlikely Edits (MUE)

The most billing units of J7188 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 iu.

Practitioner Office & Hospital Outpatient
22,000 units / day
= 22,000 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.

OBIZUR 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.

Acquired Hemophilia A

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Frequently Asked Questions

Is there an available Obizur billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for OBIZUR.
Are there any available Obizur patient assistance programs?
OBIZUR patient assistance information can be found through Baxalta. Visit Here →
Where can I find Obizur prescribing information?
OBIZUR prescribing information can be found at the link below: Visit Here →
Where can I find Obizur side effect information?
Our team has not yet identified a source of side effects information for OBIZUR. Please check back in a few weeks.
Does billing OBIZUR require JZ/JW wastage modifiers?
CMS has identified OBIZUR(J7188) 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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