J7201 HCPCS Level II code: Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.
J7201 is the HCPCS code for “Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
J7201Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.
Short description: Factor ix alprolix recomb
HCPCS · United States
Medicare details
The indicators CMS publishes with J7201 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- Drugs
- ASC
- Approved for ambulatory surgical centers
- Type of service
- Medical care; Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Other drugs
- Added
- Jan 1, 2015
Where J7201 sits
- 1J codesDrugs administered other than orally
- 2Active code J7201Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code J7201 mean?
J7201 is the HCPCS code for “Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover J7201?
CMS lists J7201’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Drugs”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside J7201
All J codesJ7195Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specifiedJ7196Injection, antithrombin recombinant, 50 i.u.J7197Antithrombin iii (human), per i.u.J7198Anti-inhibitor, per i.u.J7199Hemophilia clotting factor, not otherwise classifiedJ7200Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iuJ7202Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.J7203Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iuJ7204Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iuJ7205Injection, factor viii fc fusion protein (recombinant), per iuJ7207Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.J7208Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.