HCPCS Code Details - J7186

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J7186
Description

Long description:
Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u.

Short description:
Antihemophilic viii/vwf comp

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
ASC payment group code Effective Jan 01, 2009 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2009
Date added Added Jan 01, 2009
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - J7186

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
July 1, 2017 - September 30, 2017 PER FACTOR VIII IU 0.94 - - - - - - 1
April 1, 2017 - June 30, 2017 PER FACTOR VIII IU 0.986 - - - - - - 1
January 1, 2017 - March 31, 2017 PER FACTOR VIII IU 0.975 - - - - - -
October 1, 2016 - December 31, 2016 PER FACTOR VIII IU 0.969 - - - - - - 1
July 1, 2016 - September 30, 2016 PER FACTOR VIII IU 0.965 - - - - - - 1
PER FACTOR VIII IU 0.965 - - - - - - 1
PER FACTOR VIII IU 0.965 - - - - - - 1

See also

  • HCPCS J7185 · Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.

  • HCPCS J7187 · Injection, von willebrand factor complex (humate-p), per iu vwf:rco


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”