Table of content for "Inj recombin esperoct per iu" (HCPCS J7204)
General information on the “J7204” code
HCPCS Code: J7204
Long Description: Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu
Short Description: Inj recombin esperoct per iu
Original information is taken from J7204 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
ASC Payment Group: YY
ASC Payment Group Effective Date: 20200701
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20200701
Code Effective Date: 20200701
Action Code: N – No maintenance for this code