HCPCS code J7185 — Xyntha inj.
Status: Active.
Effective Jan 1, 2010.
Source: CMS HCPCS Level II.
J7185
ActiveXyntha inj
Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2010
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
1268
MUE — Medically Unlikely Edits
Maximum units of J7185 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 | 22000 |
| Practitioner Services | 22000 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 58394-0012-01 | Xyntha |
| 58394-0013-01 | Xyntha |
| 58394-0014-01 | Xyntha |
| 58394-0015-01 | Xyntha |
| 58394-0016-03 | Xyntha |
| 58394-0022-03 | Xyntha |
| 58394-0023-03 | Xyntha |
| 58394-0024-03 | Xyntha |
| 58394-0025-03 | Xyntha |