HCPCS code J7201 — Factor ix alprolix recomb.
Status: Active.
Effective Jan 1, 2017.
Source: CMS HCPCS Level II.
J7201
ActiveFactor ix alprolix recomb
Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2017
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
1486
MUE — Medically Unlikely Edits
Maximum units of J7201 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 | 9000 |
| Practitioner Services | 9000 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 71104-0911-01 | Alprolix |
| 71104-0922-01 | Alprolix |
| 71104-0933-01 | Alprolix |
| 71104-0944-01 | Alprolix |
| 71104-0966-01 | Alprolix |
| 71104-0977-01 | Alprolix |