HCPCS code J7169 — Inj andexxa, 10 mg. Status: Active. Effective Jul 1, 2020. Source: CMS HCPCS Level II.

J7169

Active

Inj andexxa, 10 mg

Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2020
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9198

MUE — Medically Unlikely Edits

Maximum units of J7169 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 180
Practitioner Services 180

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2020-Q3
    Inj andexxa, 10 mg