J7204 – Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu
HCPCS Level II code · J codes: Drugs Administered Other Than Oral Method
HCPCS codeJ7204
- Long description
- Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu
- Short description
- Inj recombin esperoct per iu
- Pricing indicator
51Drugs- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
O1EOther drugs- ASC
- Approved for ambulatory surgical centers
- Added
- July 1, 2020
- Last change
- July 1, 2020 – No change
Frequently asked questions
What is HCPCS code J7204?
J7204 is a HCPCS Level II code for injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu.
Does Medicare cover J7204?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby J codes
- J7196 – Injection, antithrombin recombinant, 50 i.u.
- J7197 – Antithrombin iii (human), per i.u.
- J7198 – Anti-inhibitor, per i.u.
- J7199 – Hemophilia clotting factor, not otherwise classified
- J7200 – Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu
- J7201 – Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.
- J7202 – Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.
- J7203 – Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
- J7205 – Injection, factor viii fc fusion protein (recombinant), per iu
- J7207 – Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.
- J7208 – Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.
- J7209 – Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u.
- J7210 – Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u.
- J7211 – Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u.
- J7212 – Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram
- J7213 – Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.