HCPCS code J7212 — Factor viia recomb sevenfact. Status: Active. Effective Jan 1, 2021. Source: CMS HCPCS Level II.

J7212

Active

Factor viia recomb sevenfact

Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2021
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9395

MUE — Medically Unlikely Edits

Maximum units of J7212 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 90000
Practitioner Services 90000

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
71127-1000-01 Sevenfact
71127-2000-01 Sevenfact
71127-5000-01 Sevenfact

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 2021-Q1
    Factor viia recomb sevenfact