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J7187

J7187 – Injection, von willebrand factor complex (humate-p), per iu vwf:rco · NDC Crosswalk & Billing Units

HCPCS Level II J-code · Medicare Part B drug billing
J-code ● 3 NDCs crosswalked per 1 IU $1.535/unit ASP+6%

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Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

📋 J7187 summary

J7187 is a HCPCS Level II J-code used to bill von willebrand factor complex (humate-p), per iu vwf:rco, billed per 1 IU. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.

Brand names associated with J7187: Humate-P

Code J7187 Billing unit 1 IU Payment limit $1.535/unit NDC-Crosswalk 3 Quarter Q3 2026 RxCUI Atlas Trace the drug concept →

⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.

🗂️ Key billing facts

HCPCS codeJ7187
DescriptorInjection, von willebrand factor complex (humate-p), per iu vwf:rco
Billing unit1 IU
Payment limit / unit$1.535
Est. ASP / unit$1.448 est.
Mapped NDCs3
Data periodQ3 2026
Last updated2026-08-20

🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026

📅 Payment limits effective Q3 2026 — from the CMS Medicare Part B Payment Limit File (revised quarterly).
Medicare payment limit / unit
$1.535
Est. ASP / unit
$1.448 est.
Est. after 2% sequester
$1.504
HCPCS dosage
1 IU
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly), Q3 2026.
Full HCPCS code details (official CMS record)
Long descriptionInjection, von willebrand factor complex (humate-p), per iu vwf:rco
CoverageD — Special coverage instructions apply
Pricing indicator51 — Drug — priced under the ASP methodology
Type of service1 — Medical care
BETOS-2O1E
ASC payment groupYY
Action codeN — No maintenance this year
Effective date2008-01-01
Date added2007-01-01
Source: CMS HCPCS Level II code file (imported via admin).

🧮 Dosing & billing-units calculator HCPCS UNITS

One billing unit of J7187 = 1 iu. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.

🔁 NDCs that bill under J7187 WITH EST. MEDICARE PAY

3 NDCs map to J7187. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($1.535/unit) × that package's bill units.
NDC (11-digit)DrugLabelerPackageStrength Bill units Est. pay / pkg NADAC / unit StatusSource
63833-0615-02 Humate-P antihemophilic factor/von willebrand factor complex (human) KIT CSL 1 KIT in 1 CARTON (63833-615-02) * 5 mL... — 1 $1.54 — ● Active CMS ASP
63833-0616-02 Humate-P antihemophilic factor/von willebrand factor complex (human) KIT CSL 1 KIT in 1 CARTON (63833-616-02) * 10 mL... — 1 $1.54 — ● Active CMS ASP
63833-0617-02 Humate-P antihemophilic factor/von willebrand factor complex (human) KIT CSL 1 KIT in 1 CARTON (63833-617-02) * 15 mL... — 1 $1.54 — ● Active CMS ASP
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.

📊 Medicare utilization & spend CMS · PART B · 2026 (Q1)

Period
Total Part B spend
$7.45M
Claims
315
Beneficiaries
129
Spend / beneficiary
$57,719.45
Spend / claim
$23,637.49
Trend by period
Where J7187 ranks among Part B drugs · 2026 (Q1) · neighbors ±5
Total spending — #203 of 824
#198 TECENTRIQ HYBREZA J9024 $8.26M #199 XEOMIN J0588 $8.12M #200 ADMELOG SOLOSTAR* J1817 $8M #201 PEMGARDA (EUA) Q0224 $7.66M #202 VPRIV J3385 $7.61M #203 HUMATE-P J7187 $7.45M #204 HERCEPTIN HYLECTA J9356 $7.41M #205 ZYNLONTA J9359 $7.38M #206 TRIESENCE J3300 $7.37M #207 EMRELIS J9326 $7.18M #208 PEMFEXY J9304 $7.15M
Total claims — #500 of 824
#495 FERAHEME(Q0139)* Q0139 325 #496 CAREPATCH PER SQ CM*... Q4236 325 #497 IDELVION J7202 319 #498 MEMBRANE WRAP HYDR P... Q4290 318 #499 ALPROLIX J7201 317 #500 HUMATE-P J7187 315 #501 FLUPHENAZINE DECANOA... J2680 307 #502 MYCOPHENOLATE MOFETI... J7528 299 #503 JELMYTO J9281 296 #504 OCREVUS ZUNOVO J2351 292 #505 FOLOTYN* J9307 291

Full breakdown by period (2)
PeriodTotal spendBeneficiariesClaims$/beneficiary$/claim
2026 (Q1) $7.45M 129 315 $57,719.45 $23,637.49
2025 (Q1-Q4) $33.19M 318 1,552 $104,371.23 $21,385.34
Provider-administered (Part B) spend, calculated for the whole HCPCS code (CMS does not publish Medicare spend per individual NDC). Self-administered use is covered under Part D instead. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part B Spending by Drug (data.cms.gov), updated quarterly.

📈 Medicare Part B claims detail CMS PSPS · 2024

Calendar-year 2024 Medicare Part B fee-for-service activity for this HCPCS code, summed across all carriers, localities and specialties (CMS Physician/Supplier Procedure Summary). A “service” is one billed line/unit — not one claim — so counts run higher than claim counts.
Allowed charges
$24.2M
Medicare paid
$18.99M
Submitted services
12,110,530
Denial rate
2.6%
Allowed / service
$2.05
Submitted charges
$41.41M
Source: CMS Physician/Supplier Procedure Summary (PSPS), CY2024 — Medicare Part B carrier + DME fee-for-service claims (excludes Medicare Advantage). Figures are for the whole HCPCS code, which may cover uses beyond this drug. ⚠ CMS hides any figure covering fewer than 11 patients (a privacy rule), so totals — especially denials and low-volume codes — run a little low.

🗺️ Where J7187 is utilized CMS · BY PROVIDER · 2024

Medicare Part B services for this code by the rendering provider's state — 3,232,019 services across 1 states & territories in 2024 (CMS reports include DC and U.S. territories). Switch to per 100k to compare states fairly regardless of population. Hover or tap a state for its top ZIP codes.
Hover or tap a state to see its numbers + top ZIP codes.
Per-capita = services ÷ 2023 state population × 100,000 (so high-population states aren't automatically "hotter"). Counts reflect the provider's location, not the patient's. Providers with fewer than 11 patients are hidden by CMS for privacy, so totals run low and per-100k can be noisy in small states — read this as relative geography, not exact counts. Source: CMS Medicare Physician & Other Practitioners — by Provider and Service, 2024.

🗃️ Data sources & freshness

Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Loaded
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Q3 2026 · as of 2026-08-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk
3 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Not available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
Latest data year 2026
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.

⚠️ Practical billing caveats

  • A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
  • Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
  • Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
  • Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
  • The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
  • Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.

❓ J7187 billing FAQ

What is HCPCS code J7187?
J7187 is a HCPCS Level II J-code used to bill Injection, von willebrand factor complex (humate-p), per iu vwf:rco under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J7187?
One unit of J7187 represents 1 IU. Report the number of units equal to the dose administered divided by 1 IU.
How many units of J7187 should I bill?
Divide the dose administered by the code's unit size (1 IU) to get the number of billing units, then round per your payer's policy. The calculator on this page converts a dose into billing units and projects a full course.
How much does Medicare pay for J7187?
The Medicare Part B payment limit is $1.535 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $1.504 per unit. Payment limits are revised quarterly.
Which NDCs bill under J7187?
3 NDCs currently map to J7187 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean J7187 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.