Home › Drug Codes › J Codes › J1640 · PANHEMATIN
Updated July 1st, 2026

PANHEMATIN J Code: J1640

Injection, hemin, 1 mg

Login to unlock all benchmarks

Q4 2026 Medicare Payment Limit for J1640, effective October 1, 2026: $36.05 per HCPCS billing unit, up 0.6% from $35.821. From CMS's final file.

?
Medicare Payment Limit ?
$35.821
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$35.821
/ HCPCS billing unit · APC 1690
ASP ?
$•••.••
Login to view
WAC · AWP ?
$•••.••
Login to view
NDCs Crosswalked ?
1
View NDC crosswalk →

Drug & Product Overview

HCPCS Descriptor Injection, hemin, 1 mg
HCPCS Added Date January 1, 2006
Manufacturer Recordati Rare Diseases
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Powder, For Solution

About PANHEMATIN

Panhematin is a medication aligned to the HCPCS J Code: J1640 for billing, pricing, and reimbursement purposes in the United States. Classified under Hematology, it is administered via the intravenous route and manufactured by Recordati Rare Diseases.

According to CMS Drug Use Information: This medication is used to treat the symptoms that occur with certain blood disorders (porphyrias). Hemin is not a cure for porphyria. This medication may relieve symptoms such as pain, high blood pressure, rapid heartbeat, or mental changes that may occur during an acute attack of porphyria.

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
55292-0702-55 Panhematin Recordati Rare Diseases, Inc. 336 336 MG / 48 ML
Login for the full NDC crosswalk View pricing, complete NDC-to-HCPCS alignments, and package details.
Login →

PANHEMATIN Pricing & Reimbursement

J1640 Private Payer Reimbursement
$35.23 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

PANHEMATIN 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 Panhematin (J1640) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

PANHEMATIN Medically Unlikely Edits (MUE)

The most billing units of J1640 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
672 units / day
= 672 mg per day

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 →

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

PANHEMATIN 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.

Acute intermittent porphyria

Login for BuyandBill.com Analytics

Unlock deeper insights with BuyandBill’s Comparative Report!

  • Compare ASP, WAC, and AWP across drugs.
  • Visualize Drug Price Movement Over Time
  • Tailor reports to drug class, manufacturer, or HCPCS Code.
  • Compare Biosimilar and 505(b)(2) products.
Access Full Report →

Frequently Asked Questions

Is there an available Panhematin billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for PANHEMATIN.
Are there any available Panhematin patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for PANHEMATIN.
Where can I find Panhematin prescribing information?
PANHEMATIN prescribing information can be found at the link below: Visit Here →
Where can I find Panhematin side effect information?
Our team has not yet identified a source of side effects information for PANHEMATIN. Please check back in a few weeks.
Does billing PANHEMATIN require JZ/JW wastage modifiers?
CMS has identified PANHEMATIN(j1640) 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.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.

Related Drug Codes

Explore billing, coding, and pricing for drugs related to PANHEMATIN.

J3230CHLORPROMAZINE HCLInjection, chlorpromazine hcl, up to 50 mgMultiple ManufacturersAdded January 1, 1982C9047CABLIVIInjection, caplacizumab-yhdp, 1 mgGenzymeAdded July 1, 2019C9094ENJAYMOInj, sutimlimab-jome, 10 mgBioverativAdded July 1, 2022C9159BALFAXARInjection, prothrombin complex concentrate (human), balfaxar, per i.u. of factor ix activityOctapharmaAdded January 1, 2024C9167ADZYNMAInjection, adamts13, recombinant-krhn, 10 iuTakeda PharmaceuticalsAdded April 1, 2024C9304HYMPAVZIInjection, marstacimab-hncq, 0.5 mgPfizerAdded April 1, 2025C9460KENGREALInjection, cangrelor, 1 mgChiesi USAAdded January 1, 2016J0281AMINOCAPROIC ACIDInjection, aminocaproic acid, 1 gramMultiple ManufacturersAdded April 1, 2025J0365APROTININInjection, aprotonin, 10,000 kiuAdded January 1, 2006J0583ANGIOMAXInjection, bivalirudin, 1 mgMultiple ManufacturersAdded January 1, 2004