HCPCS code J7207 — Factor viii pegylated recomb.
Status: Active.
Effective Jan 1, 2017.
Source: CMS HCPCS Level II.
J7207
ActiveFactor viii pegylated recomb
Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2017
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
1844
MUE — Medically Unlikely Edits
Maximum units of J7207 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 | 22500 |
| Practitioner Services | 22500 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00944-4622-01 | Adynovate |
| 00944-4623-01 | Adynovate |
| 00944-4624-01 | Adynovate |
| 00944-4625-01 | Adynovate |
| 00944-4626-01 | Adynovate |
| 00944-4627-01 | Adynovate |
| 00944-4628-01 | Adynovate |