In short

Alphanine SD is billed under HCPCS J7193 — Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.. One billing unit is 1 IU. CMS's crosswalk lists 3 Alphanine SD NDCs under this code.

J7193 code details

Reference

J7193
Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.Billing unit: 1 IU
Labelers
Grifols USA, LLC

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$1.412
Per1 iu
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Alphanine SD units and claim line

Enter the dose given to get the J7193 units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

Alphanine SD NDCs and billing units

From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.

Alphanine SD NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
68516-3610-02J7193Grifols USA, LLC11
68516-3611-02J7193Grifols USA, LLC11
68516-3612-02J7193Grifols USA, LLC11

Alphanine SD: common questions

What is the J-code for Alphanine SD?
Alphanine SD is billed under HCPCS J7193 — Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.. One billing unit is 1 IU. CMS's crosswalk lists 3 Alphanine SD NDCs under this code.
How many J7193 billing units are in a package of Alphanine SD?
CMS lists 1 billing units per package, depending on the NDC, where one unit is 1 IU. Units to report are based on the dose given, not the package.
Is J7193 a CPT code?
No. J7193 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.

Related

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in