HCPCS Code Details - J7208

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J7208
Description

Long description:
Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u.

Short description:
Inj. jivi 1 iu

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 This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1E - Other drugs
HCPCS Action code A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jul 01, 2019
Date added Added Jul 01, 2019
Notes 0127
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 - J7208

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
July 1, 2019 - September 30, 2019 1 IU 2.021 - - - - - - 1

See also

  • HCPCS C9136 · Injection, factor viii, fc fusion protein, (recombinant), per i.u.

  • HCPCS C9141 · Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl (jivi), 1 i.u.

  • HCPCS J7182 · Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu

  • HCPCS J7207 · Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.

  • HCPCS J7209 · Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u.

  • HCPCS J7210 · Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u.

  • HCPCS J7211 · Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u.


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”