J7204 Injection recombin esperoct per iu
Also known as: esperoct, Fc-fusion Factor VIII, extended Factor VIII
Injection of recombinant esperoct (coagulation Factor VIII recombinant, Fc-fusion protein, per International Unit).
In Plain Language
long-acting hemophilia A treatment; extended clotting factor
Clinical Context
Used for routine prophylaxis and on-demand treatment of bleeding in hemophilia A patients, extended half-life reduces injection frequency.
RVU Information
CPT J7204 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 J7204?
CPT J7204 (Injection recombin esperoct per iu) is a J Codes (Drugs) code. Injection of recombinant esperoct (coagulation Factor VIII recombinant, Fc-fusion protein, per International Unit).
How is J7204 administered?
CPT J7204 is administered by a healthcare provider, typically via injection or infusion. Used for routine prophylaxis and on-demand treatment of bleeding in hemophilia A patients, extended half-life reduces injection frequency. It is used by Hematology, Hemophilia Specialty Clinic, Pediatrics.
When is CPT J7204 used?
Used for routine prophylaxis and on-demand treatment of bleeding in hemophilia A patients, extended half-life reduces injection frequency.
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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.