Oncology & Hematology Coding Alert

Say so long to J7184 and Q2041.

Double check the 2012 HCPCS codes before you report hemophilia clotting factors provided Jan. 1, 2012, or later.

Corifact: HCPCS 2012 adds J7180 (Injection, factor XIII [antihemophilic factor, human], 1 I.U.). The request for the new code was made with Corifact in mind, according to the May 17, 2011, HCPCS Public Meeting Agenda (www.cms.gov/MedHCPCSGenInfo/downloads/Tues_May17thDrug-Agenda.pdf).

In patients with congenital factor XIII deficiency, Corifact "is used to replace the missing Factor XIII and raise Factor XIII levels."

Wilate: HCPCS 2012 also supplies a new code for Wilate, says Janae Ballard, CPC, CPC-H, CPMA, CEMC, PCS, FCS, coding manager for The Coding Source. The new code is J7183 (Injection, von Willebrand factor complex [human], Wilate, 1 I.U. vWF: RCo).

The creation of J7183 completes a series of Wilate changes over the last year which saw J7184 (Injection, von Willebrand factor complex [human], Wilate, per 100 I.U. vWF: RCo) deleted and replaced with Q2041 (Injection, von Willebrand factor complex [human], Wilate, 1 I.U. vWF: RCo) in July 2011.

In 2012, both J7184 and Q2041 are defunct codes that will cause denials. You should use only J7183.