J7196 Antithrombin recombinant
Also known as: recombinant antithrombin, rAT, anticoagulant
Injection of antithrombin recombinant, a genetically engineered natural anticoagulant for treatment of antithrombin deficiency.
In Plain Language
blood thinner; clot prevention protein
Clinical Context
Used for prevention of thromboembolism in antithrombin deficiency patients, particularly perioperatively and in critical illness.
RVU Information
CPT J7196 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 J7196?
CPT J7196 (Antithrombin recombinant) is a J Codes (Drugs) code. Injection of antithrombin recombinant, a genetically engineered natural anticoagulant for treatment of antithrombin deficiency.
How is J7196 administered?
CPT J7196 is administered by a healthcare provider, typically via injection or infusion. Used for prevention of thromboembolism in antithrombin deficiency patients, particularly perioperatively and in critical illness. It is used by Hematology, Critical Care, Surgery.
When is CPT J7196 used?
Used for prevention of thromboembolism in antithrombin deficiency patients, particularly perioperatively and in critical illness.
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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.