ALPHANINE SD J Code: J7193

Drug & Product Overview

HCPCS Descriptor Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.

HCPCS Added Date January 1, 2002

Manufacturer Grifols

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Kit

About ALPHANINE SD

Alphanine SD is a medication aligned to the HCPCS J Code: J7193 for billing, pricing, and reimbursement purposes in the United States. Classified under Hematology, it is administered via the intravenous route and manufactured by Grifols.

According to CMS Drug Use Information: This medication is used to prevent or control bleeding in people with little or no factor IX (due to hemophilia B, Christmas disease). Factor IX is a protein (clotting factor) in the blood that works with other clotting factors to help the blood clot and stop bleeding. People with little or no factor IX are at risk for bleeding longer after an injury/surgery or bleeding suddenly (often in the joints/muscle) without an obvious cause. This medication should not be used to reverse the effects of "blood thinners" (such as warfarin). Most types of this medication should not be used to treat other types of factor deficiencies (such as factors II, VII, VIII, X) or factor problems (such as inhibitor to factor XIII). If you are using this medication for one of these conditions, consult your doctor or pharmacist to make sure that you are using the right product.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
68516-3610-02	AlphaNine SD	GRIFOLS USA, LLC	1	Kit
68516-3611-02	AlphaNine SD	GRIFOLS USA, LLC	1	Kit
68516-3612-02	AlphaNine SD	GRIFOLS USA, LLC	1	Kit

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ALPHANINE SD Pricing & Reimbursement

J7193 Private Payer Reimbursement

$1.29 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

ALPHANINE SD CPT Administration Codes

CPT Code	Description
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

JW / JZ modifiers apply

CMS has identified Alphanine SD (J7193) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ALPHANINE SD Medically Unlikely Edits (MUE)

The most billing units of J7193 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 iu. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office

4,000 units / day

= 4,000 iu per day

Hospital Outpatient

20,000 units / day

= 20,000 iu per day

MAI 1 · Line Edit. Per-line limit: units are checked per claim line; medically necessary units beyond the limit may be billable on separate lines with appropriate modifiers. See all MUE limits →

ALPHANINE SD Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Factor IX deficiency due to hemophilia B

Frequently Asked Questions

Is there an available Alphanine Sd billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for ALPHANINE SD.

Are there any available Alphanine Sd patient assistance programs?

Our team has not identified a manufacturer-published source of patient assistance information for ALPHANINE SD.

Where can I find Alphanine Sd prescribing information?

Our team is still working to identify a prescribing information source for ALPHANINE SD

Where can I find Alphanine Sd side effect information?

Our team has not yet identified a source of side effects information for ALPHANINE SD. Please check back in a few weeks.

Does billing ALPHANINE SD require JZ/JW wastage modifiers?

CMS has identified ALPHANINE SD(J7193) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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