J7199 Hemophilia clot factor noc
Also known as: hemophilia factor NOS, clotting factor NOS, factor concentrate
Injection of hemophilia clotting factor, not otherwise classified or specified, for treatment of various clotting disorders.
In Plain Language
clotting factor replacement; hemophilia treatment
Clinical Context
Used as catch-all code for clotting factors not specifically classified, for treatment and prophylaxis of bleeding in hemophilia.
RVU Information
CPT J7199 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 J7199?
CPT J7199 (Hemophilia clot factor noc) is a J Codes (Drugs) code. Injection of hemophilia clotting factor, not otherwise classified or specified, for treatment of various clotting disorders.
How is J7199 administered?
CPT J7199 is administered by a healthcare provider, typically via injection or infusion. Used as catch-all code for clotting factors not specifically classified, for treatment and prophylaxis of bleeding in hemophilia. It is used by Hematology, Hemophilia Specialty Clinic.
When is CPT J7199 used?
Used as catch-all code for clotting factors not specifically classified, for treatment and prophylaxis of bleeding in hemophilia.
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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.