J7172 Injection marstacim-hncq, 0.5 milligrams
Also known as: marstacim, Factor VIII recombinant
Injection of marstacim-hncq, a recombinant Factor VIII, supplied as 0.5 milligrams per dose for hemophilia A management.
In Plain Language
clotting factor replacement therapy; hemophilia bleeding prevention
Clinical Context
Used for treatment and prophylaxis of hemophilia A to prevent or control bleeding episodes in patients with Factor VIII deficiency.
RVU Information
CPT J7172 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 J7172?
CPT J7172 (Injection marstacim-hncq, 0.5 milligrams) is a J Codes (Drugs) code. Injection of marstacim-hncq, a recombinant Factor VIII, supplied as 0.5 milligrams per dose for hemophilia A management.
How is J7172 administered?
CPT J7172 is administered by a healthcare provider, typically via injection or infusion. Used for treatment and prophylaxis of hemophilia A to prevent or control bleeding episodes in patients with Factor VIII deficiency. It is used by Hematology, Hemophilia Specialty Clinic.
When is CPT J7172 used?
Used for treatment and prophylaxis of hemophilia A to prevent or control bleeding episodes in patients with Factor VIII deficiency.
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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.