Home Drug Codes J Codes J7175 · COAGADEX
Updated July 1st, 2026

COAGADEX J Code: J7175

Injection, factor x, (human), 1 i.u.

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Q4 2026 Medicare Payment Limit for J7175, effective October 1, 2026: $9.953 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

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Medicare Payment Limit ?
$9.953
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$9.953
/ HCPCS billing unit · APC 1857
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
4
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Drug & Product Overview

HCPCS Descriptor Injection, factor x, (human), 1 i.u.
HCPCS Added Date January 1, 2017
Manufacturer Bio Products Laboratory
Route of Administration Intravenous, Oral
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Kit | Not Available

About COAGADEX

Coagadex is a medication aligned to the HCPCS J Code: J7175 for billing, pricing, and reimbursement purposes in the United States. Classified under Hematology, it is administered via the intravenous or oral routes and manufactured by Bio Products Laboratory.

According to CMS Drug Use Information: This medication is used to prevent or control bleeding in people with little or no factor X, a condition also known as Stuart-Prower deficiency. This condition may occur due to being passed down through families (inherited). It may also be caused by a lack of vitamin K or by certain medical conditions (such as amyloidosis, liver disease). Factor X is a clotting factor in the blood that helps bleeding stop normally. People with little or no factor X are at risk for easy bruising, nose or mouth bleeds, heavy menstrual periods (women), bleeding longer after an injury/surgery, or sudden bleeding (such as in the joints, muscles, head, stomach/gut) without a clear cause.

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. Showing 2 of 4 NDCs — log in for the full crosswalk.

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COAGADEX Pricing & Reimbursement

J7175 Private Payer Reimbursement
$9.69 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

COAGADEX CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

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 Coagadex (J7175) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

COAGADEX Medically Unlikely Edits (MUE)

The most billing units of J7175 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 iu.

Practitioner Office & Hospital Outpatient
9,000 units / day
= 9,000 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 →

iu Enter a dose to see how many billing units it is and whether it is under the limit.

COAGADEX 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.

Hereditary Factor X deficiency

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Frequently Asked Questions

Is there an available Coagadex billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for COAGADEX.
Are there any available Coagadex patient assistance programs?
COAGADEX patient assistance information can be found through Bio Products Laboratory. Visit Here →
Where can I find Coagadex prescribing information?
COAGADEX prescribing information can be found at the link below: Visit Here →
Where can I find Coagadex side effect information?
Our team has not yet identified a source of side effects information for COAGADEX. Please check back in a few weeks.
Does billing COAGADEX require JZ/JW wastage modifiers?
CMS has identified COAGADEX(J7175) 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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