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J7203 Factor ix recomb gly rebinyn

J Codes (Drugs)

Also known as: Rebinyn, glycosylated Factor IX, rFIX glyco

Injection of Factor IX recombinant glyco (Rebinyn), a glycosylated recombinant Factor IX for hemophilia B treatment.

In Plain Language

hemophilia B treatment; clotting factor replacement

Clinical Context

Used for prophylaxis and on-demand treatment of bleeding in hemophilia B patients.

RVU Information

CPT J7203 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

HematologyHemophilia Specialty ClinicPediatrics

Frequently Asked Questions

What is CPT code J7203?

CPT J7203 (Factor ix recomb gly rebinyn) is a J Codes (Drugs) code. Injection of Factor IX recombinant glyco (Rebinyn), a glycosylated recombinant Factor IX for hemophilia B treatment.

How is J7203 administered?

CPT J7203 is administered by a healthcare provider, typically via injection or infusion. Used for prophylaxis and on-demand treatment of bleeding in hemophilia B patients. It is used by Hematology, Hemophilia Specialty Clinic, Pediatrics.

When is CPT J7203 used?

Used for prophylaxis and on-demand treatment of bleeding in hemophilia B patients.

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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.