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J7194 Factor ix complex

J Codes (Drugs)

Also known as: prothrombin complex, Factor IX complex, PCC

Injection of Factor IX complex (prothrombin complex concentrate), containing Factors II, VII, IX, and X in physiologic ratio.

In Plain Language

clotting factor combination; vitamin K-dependent factors

Clinical Context

Used for urgent reversal of warfarin anticoagulation and for treatment of Factor deficiencies in hemophilia B and other conditions.

RVU Information

CPT J7194 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

Emergency MedicineHematologyCritical Care

Frequently Asked Questions

What is CPT code J7194?

CPT J7194 (Factor ix complex) is a J Codes (Drugs) code. Injection of Factor IX complex (prothrombin complex concentrate), containing Factors II, VII, IX, and X in physiologic ratio.

How is J7194 administered?

CPT J7194 is administered by a healthcare provider, typically via injection or infusion. Used for urgent reversal of warfarin anticoagulation and for treatment of Factor deficiencies in hemophilia B and other conditions. It is used by Emergency Medicine, Hematology, Critical Care.

When is CPT J7194 used?

Used for urgent reversal of warfarin anticoagulation and for treatment of Factor deficiencies in hemophilia B and other conditions.

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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.