J7168 Prothrombin complex kcentra
Also known as: prothrombin complex concentrate, Kcentra, PCC
Prothrombin complex concentrate (Kcentra) injection provides vitamin K-dependent clotting factors for warfarin reversal.
In Plain Language
blood clotting factor infusion; warfarin antidote
Clinical Context
Used for urgent reversal of warfarin in life-threatening bleeding. Replaces factors II, VII, IX, and X. Intravenous administration provides rapid coagulation restoration. Preferred over fresh frozen plasma for rapid effect.
RVU Information
CPT J7168 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J7168?
CPT J7168 (Prothrombin complex kcentra) is a J Codes (Drugs) code. Prothrombin complex concentrate (Kcentra) injection provides vitamin K-dependent clotting factors for warfarin reversal.
How is J7168 administered?
CPT J7168 is administered by a healthcare provider, typically via injection or infusion. Used for urgent reversal of warfarin in life-threatening bleeding. Replaces factors II, VII, IX, and X. Intravenous administration provides rapid coagulation restoration. Preferred over fresh frozen plasma for rapid effect. It is used by Hematology, Emergency Medicine, Critical Care.
When is CPT J7168 used?
Used for urgent reversal of warfarin in life-threatening bleeding. Replaces factors II, VII, IX, and X. Intravenous administration provides rapid coagulation restoration. Preferred over fresh frozen plasma for rapid effect.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.