Table of content for "Factor ix alprolix recomb" (HCPCS J7201)
General information on the “J7201” code
HCPCS Code: J7201
Long Description: Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.
Short Description: Factor ix alprolix recomb
Original information is taken from J7201 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20150101
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20150101
Code Effective Date: 20170101
Action Code: N – No maintenance for this code