|
J7170 |
 |
Injection, emicizumab-kxwh, 0.5 mg
| short | Inj., emicizumab-kxwh 0.5 mg |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1800.0 | 3 Date of Service Edit: Clinical | Prescribing Information | | OPH | 1800.0 | 3 Date of Service Edit: Clinical | Prescribing Information |
|
|
|
|
J7175 |
 |
Injection, factor x, (human), 1 i.u.
| short | Inj, factor x, (human), 1iu |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 9000.0 | 1 Line Edit | Prescribing Information | | OPH | 9000.0 | 1 Line Edit | Prescribing Information |
|
|
|
|
J7177 |
 |
Injection, human fibrinogen concentrate (fibryga), 1 mg
| short | Inj., fibryga, 1 mg |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 10500.0 | 3 Date of Service Edit: Clinical | Prescribing Information | | OPH | 10500.0 | 3 Date of Service Edit: Clinical | Prescribing Information |
|
|
|