Home Drug Codes J Codes J7203 · REBINYN
Updated July 1st, 2026

REBINYN J Code: J7203

Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu

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Q4 2026 Medicare Payment Limit for J7203, effective October 1, 2026: $4.715 per HCPCS billing unit, up 0.9% from $4.674. From CMS's final file.

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Medicare Payment Limit ?
$4.674
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$4.674
/ HCPCS billing unit · APC 9468
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
5
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Drug & Product Overview

HCPCS Descriptor Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
HCPCS Added Date January 1, 2019
Manufacturer Novo Nordisk
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Kit | Not Available

About REBINYN

Rebinyn is a medication aligned to the HCPCS J Code: J7203 for billing, pricing, and reimbursement purposes in the United States. This Hematology medication is administered via the intravenous route and manufactured by Novo Nordisk.

According to CMS Drug Use Information: This medication is used to prevent, treat, and control bleeding episodes in people with little or no factor IX (due to hemophilia B, Christmas disease). Factor IX is a protein normally found in the blood that helps the blood to thicken (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 contains a man-made form of factor IX.

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 4 of 5 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00169-7901-01 Rebinyn Novo Nordisk 1 Kit
00169-7902-01 Rebinyn Novo Nordisk 1 Kit
00169-7903-01 Rebinyn Novo Nordisk 1 Kit
00169-7905-01 Rebinyn Novo Nordisk 1 Kit
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REBINYN Pricing & Reimbursement

J7203 Private Payer Reimbursement
$4.41 / 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

REBINYN 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 Rebinyn (J7203) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

REBINYN Medically Unlikely Edits (MUE)

The most billing units of J7203 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 iu.

Practitioner Office & Hospital Outpatient
12,000 units / day
= 12,000 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.

REBINYN 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.

Hemophilia B (congenital Factor IX deficiency)

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Frequently Asked Questions

Is there an available Rebinyn billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for REBINYN.
Are there any available Rebinyn patient assistance programs?
REBINYN patient assistance information can be found through Novo Nordisk. Visit Here →
Where can I find Rebinyn prescribing information?
REBINYN prescribing information can be found at the link below: Visit Here →
Where can I find Rebinyn side effect information?
Our team has not yet identified a source of side effects information for REBINYN. Please check back in a few weeks.
Does billing REBINYN require JZ/JW wastage modifiers?
CMS has identified REBINYN(J7203) 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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