HCPCS code J7191 — Factor viii (porcine). Status: Active. Effective Jan 1, 2026. Source: CMS HCPCS Level II.

J7191

Active

Factor viii (porcine)

Factor viii (antihemophilic factor (porcine)), per i.u.

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2026
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 1464

MUE — Medically Unlikely Edits

Maximum units of J7191 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 0
Practitioner Services 0

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 2026-Q1
    Factor viii (porcine)