HCPCS code J7205 — Factor viii fc fusion recomb.
Status: Active.
Effective Jan 1, 2016.
Source: CMS HCPCS Level II.
J7205
ActiveFactor viii fc fusion recomb
Injection, factor viii fc fusion protein (recombinant), per iu
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2016
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
1656
MUE — Medically Unlikely Edits
Maximum units of J7205 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 | 9750 |
| Practitioner Services | 9750 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 71104-0801-01 | Eloctate |
| 71104-0802-01 | Eloctate |
| 71104-0803-01 | Eloctate |
| 71104-0804-01 | Eloctate |
| 71104-0805-01 | Eloctate |
| 71104-0806-01 | Eloctate |
| 71104-0807-01 | Eloctate |
| 71104-0808-01 | Eloctate |
| 71104-0809-01 | Eloctate |
| 71104-0810-01 | Eloctate |