ANDEXXA J Code: J7169

Drug & Product Overview

HCPCS Descriptor Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg

HCPCS Added Date July 1, 2020

Manufacturer Astrazeneca

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Powder, Lyophilized, For Solution

About ANDEXXA

Andexxa is a medication aligned to the HCPCS J Code: J7169 for billing, pricing, and reimbursement purposes in the United States. Classified under Hematology, it is administered via the intravenous route and manufactured by Astrazeneca.

Manufacturers, reach out to us to add more information.

NDC Code Information

2 NDC packages are crosswalked to J7169. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	ANDEXXA
	ANDEXXA

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ANDEXXA Pricing & Reimbursement

J7169 Private Payer Reimbursement

$126.00 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

ANDEXXA Claims Performance

Claims from Jan 2026 – Aug 2026

Claim Denial Rate 0%

Avg. Days to File 8.5days

Avg. Days to Pay 14.9days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

Explore J7169 claims analytics on FocalPoint →

ANDEXXA 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 Andexxa (J7169) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ANDEXXA Medically Unlikely Edits (MUE)

The most billing units of J7169 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg.

Practitioner Office & Hospital Outpatient

180 units / day

= 1,800 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

ANDEXXA 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.

life-threatening or uncontrolled bleeding in patients treated with rivaroxaban or apixaban

Frequently Asked Questions

Is there an available Andexxa billing and coding guide?

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

Are there any available Andexxa patient assistance programs?

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

Where can I find Andexxa prescribing information?

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

Where can I find Andexxa side effect information?

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

Does billing ANDEXXA require JZ/JW wastage modifiers?

CMS has identified ANDEXXA(J7169) 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.

About BuyandBill.com:

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