In short

J7169 is the HCPCS Level II code for injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg. One billing unit is 10 mg.

Code

CMS HCPCS file
HCPCS codeJ7169
Billing unit10 mg
Descriptor
Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg
Short descriptor
Inj andexxa, 10 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Jul 1, 2020

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Units and claim line

Units = dose given ÷ 10 mg. For example, 1000 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Find the NDC

Med-Code hasn’t mapped J7169 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

Search NDCs for coagulation factor xa

J7169: common questions

Is J7169 a CPT code?
No. J7169 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What is one billing unit of J7169?
One unit of J7169 is 10 mg, as stated in the code's descriptor. Units to report = dose given ÷ 10 mg. J-code billing units.

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