HCPCS code J7189 — Factor viia recomb novoseven.
Status: Active.
Effective Jan 1, 2021.
Source: CMS HCPCS Level II.
J7189
ActiveFactor viia recomb novoseven
Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2021
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
1705
MUE — Medically Unlikely Edits
Maximum units of J7189 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 | 26000 |
| Practitioner Services | 13000 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00169-7201-01 | Novoseven RT |
| 00169-7202-01 | Novoseven RT |
| 00169-7205-01 | Novoseven RT |
| 00169-7208-01 | Novoseven RT |
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2021-Q1Factor viia recomb novoseven