Professional Hemophilia Resources

Hemophilia A Treatment Reimbursement

CSL Behring provides a range of reimbursement services for hemophilia A patients, including individual claims processing reviews, assistance in appeals, insurance investigations into product coverage, and prior approvals for therapies authorization. To speak with a representative, call the Reimbursement Answerline at 1-800-676-4266 Monday through Friday from 8 a.m. to 5 p.m. ET. Or, visit our online Reimbursement Resource Center.

BILLING CODES
HCPCS CODE ICD-9-CM CPT CODES
J-7192- FACTOR VIII (ANTIHEMOPHILIC FACTOR RECOMBINANT), PER IU 286.0 - CONGENITAL FACTOR
VIII DISORDER
96374
96376
96365

This hemophilia resource provides information from a complex and evolving medical coding system. The treating physician is solely responsible for diagnosis coding and determination of the appropriate ICD-9-CM codes that describe the hemophilia A patient’s condition and are supported by the medical record. All codes listed in this guide are for informational purposes and are not an exhaustive list. The CPT, HCPS, and ICD-9-CM codes provided are based on AMA or CMS guidelines. The billing party is solely responsible for coding of services (eg, CPT coding). Because government and other third-party payor coding requirements change periodically, please verify current coding requirements directly with the payor being billed.

NDC CODES
CODE DESCRIPTION
NDC 0053-8131-02 Approximately 250 IU per bottle
NDC 0053-8132-02 Approximately 500 IU per bottle
NDC 0053-8133-02 Approximately 1000 IU per bottle
NDC 0053-8134-02 Approximately 2000 IU per bottle
NDC 0053-8135-02 Approximately 3000 IU per bottle

Clinical literature

The following Clinical Literature is available to order today:

  • Sucrose Formulated Recombinant Human Antihemophilic Factor VIII Is Safe and Efficacious for Treatment of Hemophilia A in Home Therapy. Abshire TC et al., 2000.
  • Children’s Preferences of Transfer Devices for Reconstitution of Factors VIII and IX for the Treatment of Haemophilia. Khair K. Haemophilia 2009.
  • Full-length Sucrose-formulated Recombinant Factor VIII for Treatment of Previously Untreated or Minimally Treated Young Children with Severe Haemophilia A. Kreuz W et al.; Thromb Haemost 2005.
  • Prophylaxis Versus Episodic Treatment to Prevent Joint Disease in Boys with Severe Hemophilia. MMJ NEJM 9 07.
  • Low Risk of Inhibitor Formation in Haemophila Patients After a Change in Treatment from Chinese Hamster Ovary Cell-Produced to Baby Hamster Kidney Cell-produced Recombinant Factor VIII. Singleton E et al 2007.

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Important Safety Information

Helixate® FS, Antihemophilic Factor (Recombinant), is a recombinant factor VIII treatment indicated for the control and prevention of bleeding episodes and peri-operative management in adults and children (0-16 years) with hemophilia A. Helixate® FS is also indicated for routine prophylaxis to reduce the frequency of bleeding episodes and the risk of joint damage in children with hemophilia A with no preexisting joint damage.

The most serious adverse reactions are systemic hypersensitivity reactions and the development of high-titer inhibitors necessitating alternative treatments to antihemophilic factor. The most common adverse reactions observed in clinical trials were inhibitor formation in previously untreated or minimally treated patients, skin-associated hypersensitivity reactions, infusion site reactions, and central venous access device (CVAD) line-associated infections.

Helixate® FS is contraindicated in patients who have manifested life-threatening immediate hypersensitivity reactions, including anaphylaxis, to the product or its components, including mouse or hamster proteins.

Please see the full prescribing information.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.