HCPCS code J7203 — Factor ix recomb gly rebinyn.
Status: Active.
Effective Jan 1, 2019.
Source: CMS HCPCS Level II.
J7203
ActiveFactor ix recomb gly rebinyn
Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2019
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9468
MUE — Medically Unlikely Edits
Maximum units of J7203 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 | 12000 |
| Practitioner Services | 12000 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00169-7901-01 | Rebinyn |
| 00169-7902-01 | Rebinyn |
| 00169-7903-01 | Recombi |
| 00169-7905-01 | Rebinyn |