HCPCS code J7195 — Factor ix recombinant nos.
Status: Active.
Effective Jan 1, 2015.
Source: CMS HCPCS Level II.
J7195
ActiveFactor ix recombinant nos
Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2015
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
0932
MUE — Medically Unlikely Edits
Maximum units of J7195 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 | 20000 |
| Practitioner Services | 6000 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 58394-0633-03 | Benefix |
| 58394-0634-03 | Benefix |
| 58394-0635-03 | Benefix |
| 58394-0636-03 | Benefix |
| 58394-0637-03 | Benefix |