|
J7199 |
 |
Hemophilia clotting factor, not otherwise classified
| short | Hemophilia clot factor noc |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
|
|
|
J7200 |
|
Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu
| short | Factor ix recombinan rixubis |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 20000.0 | 1 Line Edit | Clinical: CMS Workgroup | | OPH | 20000.0 | 1 Line Edit | Clinical: CMS Workgroup |
|
|
|
|
J7201 |
|
Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.
| short | Factor ix alprolix recomb |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 9000.0 | 1 Line Edit | Clinical: CMS Workgroup | | OPH | 9000.0 | 1 Line Edit | Clinical: CMS Workgroup |
|
|
|
|
J7202 |
|
Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.
| short | Factor ix idelvion inj |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 11550.0 | 1 Line Edit | Clinical: CMS Workgroup | | OPH | 11550.0 | 1 Line Edit | Clinical: CMS Workgroup |
|
|
|
|
J7203 |
|
Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu
| short | Factor ix recomb gly rebinyn |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 12000.0 | 1 Line Edit | Clinical: CMS Workgroup | | OPH | 12000.0 | 1 Line Edit | Clinical: CMS Workgroup |
|
|
|
|
J7205 |
|
Injection, factor viii fc fusion protein (recombinant), per iu
| short | Factor viii fc fusion recomb |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 9750.0 | 1 Line Edit | Clinical: Data | | OPH | 9750.0 | 1 Line Edit | Clinical: Data |
|
|
|
|
J7207 |
|
Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.
| short | Factor viii pegylated recomb |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 7500.0 | 1 Line Edit | Clinical: Data | | OPH | 7500.0 | 1 Line Edit | Clinical: Data |
|
|
|
|
J7208 |
|
Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.
| short | Inj. jivi 1 iu |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 12000.0 | 1 Line Edit | Prescribing Information | | OPH | 18000.0 | 1 Line Edit | Prescribing Information |
|
|
|
|
J7209 |
|
Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u.
| short | Factor viii nuwiq recomb 1iu |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 7500.0 | 1 Line Edit | Clinical: Data | | OPH | 7500.0 | 1 Line Edit | Clinical: Data |
|
|
|
|
J7210 |
|
Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u.
| short | Inj, afstyla, 1 i.u. |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 22000.0 | 1 Line Edit | Clinical: CMS Workgroup | | OPH | 22000.0 | 1 Line Edit | Clinical: CMS Workgroup |
|
|
|
|
J7211 |
|
Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u.
| short | Inj, kovaltry, 1 i.u. |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 22000.0 | 1 Line Edit | Clinical: CMS Workgroup | | OPH | 22000.0 | 1 Line Edit | Clinical: CMS Workgroup |
|
|
|