J7197 Antithrombin iii injection
Also known as: antithrombin III, AT-III, plasma antithrombin
Injection of antithrombin III (human-derived), a naturally occurring protease inhibitor used for antithrombin deficiency treatment.
In Plain Language
blood clot prevention; natural anticoagulant
Clinical Context
Used for treatment and prophylaxis of thromboembolism in hereditary or acquired antithrombin deficiency.
RVU Information
CPT J7197 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 J7197?
CPT J7197 (Antithrombin iii injection) is a J Codes (Drugs) code. Injection of antithrombin III (human-derived), a naturally occurring protease inhibitor used for antithrombin deficiency treatment.
How is J7197 administered?
CPT J7197 is administered by a healthcare provider, typically via injection or infusion. Used for treatment and prophylaxis of thromboembolism in hereditary or acquired antithrombin deficiency. It is used by Hematology, Critical Care, Surgery.
When is CPT J7197 used?
Used for treatment and prophylaxis of thromboembolism in hereditary or acquired antithrombin 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.