J7202 Factor ix idelvion injection
Also known as: Idelvion, albumin-fusion Factor IX, extended Factor IX
Injection of Factor IX Idelvion (coagulation Factor IX recombinant, albumin fusion protein), extended half-life Factor IX.
In Plain Language
long-acting hemophilia B treatment; clotting factor replacement
Clinical Context
Used for prophylaxis of bleeding in hemophilia B patients, extended half-life reduces treatment frequency compared to standard products.
RVU Information
CPT J7202 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 J7202?
CPT J7202 (Factor ix idelvion injection) is a J Codes (Drugs) code. Injection of Factor IX Idelvion (coagulation Factor IX recombinant, albumin fusion protein), extended half-life Factor IX.
How is J7202 administered?
CPT J7202 is administered by a healthcare provider, typically via injection or infusion. Used for prophylaxis of bleeding in hemophilia B patients, extended half-life reduces treatment frequency compared to standard products. It is used by Hematology, Hemophilia Specialty Clinic, Pediatrics.
When is CPT J7202 used?
Used for prophylaxis of bleeding in hemophilia B patients, extended half-life reduces treatment frequency compared to standard products.
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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.