J7205 Factor viii fc fusion recomb
Also known as: Factor VIII Fc-fusion, extended Factor VIII, Eloctate
Injection of Factor VIII Fc-fusion recombinant, an extended half-life recombinant Factor VIII with Fc immunoglobulin fusion.
In Plain Language
long-acting hemophilia A treatment; clotting factor replacement
Clinical Context
Used for routine prophylaxis and on-demand treatment in hemophilia A patients, prolonged half-life allows less frequent dosing.
RVU Information
CPT J7205 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 J7205?
CPT J7205 (Factor viii fc fusion recomb) is a J Codes (Drugs) code. Injection of Factor VIII Fc-fusion recombinant, an extended half-life recombinant Factor VIII with Fc immunoglobulin fusion.
How is J7205 administered?
CPT J7205 is administered by a healthcare provider, typically via injection or infusion. Used for routine prophylaxis and on-demand treatment in hemophilia A patients, prolonged half-life allows less frequent dosing. It is used by Hematology, Hemophilia Specialty Clinic, Pediatrics.
When is CPT J7205 used?
Used for routine prophylaxis and on-demand treatment in hemophilia A patients, prolonged half-life allows less frequent dosing.
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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.