HCPCS code J7214 — Altuviiio per factor viii iu.
Status: Active.
Effective Oct 1, 2023.
Source: CMS HCPCS Level II.
J7214
ActiveAltuviiio per factor viii iu
Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Oct 1, 2023
Code type:
alphanumeric
OPPS Status:
G
— Pass-through drugs and biologicals
OPPS APC:
9277
MUE — Medically Unlikely Edits
Maximum units of J7214 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 | 9600 |
| Practitioner Services | 7500 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 71104-0978-01 | Altuviiio |
| 71104-0979-01 | Altuviiio |
| 71104-0981-01 | Altuviiio |
| 71104-0982-01 | Altuviiio |
| 71104-0983-01 | Altuviiio |
| 71104-0984-01 | Altuviiio |
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2023-Q4Altuviiio per factor viii iu