HCPCS code J7168 — Prothrombin complex kcentra. Status: Active. Effective Jul 1, 2021. Source: CMS HCPCS Level II.

J7168

Active

Prothrombin complex kcentra

Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2021
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9132

MUE — Medically Unlikely Edits

Maximum units of J7168 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 5000
Practitioner Services 5000

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2021-Q3
    Prothrombin complex kcentra