Reimbursement help

For your convenience, the NDC, HCPCS, ICD-10-CM, and CPT reimbursement codes for HUMATE-P are listed below. All codes codes listed in this guide are for informational purposes and are not an exhaustive list. The CPT, HCPCS, and ICD-10-CM codes provided are based on AMA or CMS guidelines.

The treating physician is solely responsible for diagnosis coding and determination of the appropriate ICD-10-CM codes that describe the patient’s condition and are supported by the medical record. The billing party is solely responsible for coding of services (eg, CPT Coding). Because government and other third-party payer coding requirements change periodically, please verify current coding requirements directly with the payer being billed.

NDC	HCPCS	ICD-10-CM	CPT Code
63833-615-02	J7187 Injection, von Willebrand factor per IU	D66 Hereditary factor VIII deficiency D68.0 von Willebrand Disease	96356
63833-616-02	96374
63833-617-02	96376

NDC

HCPCS

ICD-10-CM

CPT Code

63833-615-02

J7187

Injection, von

Willebrand

factor per IU

D66

Hereditary factor VIII

deficiency

D68.0

von Willebrand Disease

96356

63833-616-02

96374

63833-617-02

96376

When billing for HUMATE-P use in VWD, record:

VWF:RCo units
(not factor VIII units)

The actual potency of VWF:RCo units printed on the carton or vial (not the approximate potency)

Failure to confirm specific third-party payor coding requirements may result in underpayment for HUMATE-P.

For more information on billing and reimbursement

Call 1-800-676-4266 for information on insurance matters or assistance with
individual case inquiries on a variety of reimbursement services, including: