HCPCS J7201

Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.

HCPCS Code: J7201: The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J7201 identifies the type of service or supply used while any of the 6 NDC codes below could be used to specify the exact drug used.
Short Description: Factor ix alprolix recomb
Long Description: Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.
Pricing Indicator: Drugs
Multiple Pricing Indicator: Not applicable as HCPCS priced under one methodology
Coverage Description: Special coverage instructions apply
BETOS Type of Service: Other drugs
Medicare Payment Limit: $3.63
Medicare Co-Insurance Percentage: 20.000%
HCPCS Classification: List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC	Proprietary Name	Non-Proprietary Name	Dosage Form	Company Name	Status
71104-911	Alprolix	Coagulation Factor Ix (recombinant), Fc Fusion Protein	Kit	Bioverativ Therapeutics Inc.	ACTIVE
71104-922	Alprolix	Coagulation Factor Ix (recombinant), Fc Fusion Protein	Kit	Bioverativ Therapeutics Inc.	ACTIVE
71104-933	Alprolix	Coagulation Factor Ix (recombinant), Fc Fusion Protein	Kit	Bioverativ Therapeutics Inc.	ACTIVE
71104-944	Alprolix	Coagulation Factor Ix (recombinant), Fc Fusion Protein	Kit	Bioverativ Therapeutics Inc.	ACTIVE
71104-966	Alprolix	Coagulation Factor Ix (recombinant), Fc Fusion Protein	Kit	Bioverativ Therapeutics Inc.	ACTIVE
71104-977	Alprolix	Coagulation Factor Ix (recombinant), Fc Fusion Protein	Kit	Bioverativ Therapeutics Inc.	ACTIVE