NOVOMEDLINK™

billing resources

Provider Code/Billing Information Guide

To assist you and your staff in addressing the complex issues of insurance and reimbursement, Novo Nordisk has developed a Provider Code/Billing Information Guide.

This downloadable guide provides you with information about:

  • Coverage
  • Coding
  • Reimbursement
  • Establishing Medical Necessity/Appealing Denied Claims
  • Claims Materials

Download the 2006 Provider Code/Billing Information guide.

You will need Adobe Acrobat Reader to open this file. For a free version, please click here

Diagnosis codes82

All claim forms must include an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis code. It may be appropriate to use one of the diagnosis codes below for patients treated with NovoSeven® RT Coagulation Factor VIIa (Recombinant).

Diagnosis codes for coagulation disorders

286.0 Congenital factor VII disorder
286.1 Congenital factor IX disorder
286.3 Congenital deficiency of other clotting factors (including FVII)
286.5 Acquired hemophilia
286.7 Acquired Coagulation Factor Deficiency
286.9 Other and unspecified coagulation defects

Providers may also consider diagnosis codes that are specific to the hemorrhage site.

Providers should select the most appropriate code with the highest level of detail to describe a patient’s condition.

For product information and reimbursement assistance, please call 1-877-NOVO-777 (1-877-668-6777).

  1. NovoSeven® RT Coagulation Factor VIIa (Recombinant) Room Temperature Stable Indications and Usage

    NovoSeven® RT is indicated for the treatment of bleeding episodes in hemophilia A or B patients with inhibitors to FVIII or FIX and in patients with acquired hemophilia; prevention of bleeding in surgical interventions or invasive procedures in hemophilia A or B patients with inhibitors to FVIII or FIX and in patients with acquired hemophilia; treatment of bleeding episodes in patients with congenital Factor VII deficiency and prevention of bleeding in surgical interventions or invasive procedures in patients with congenital FVII deficiency.

    NovoSeven® RT Important Safety Information

    • Most common adverse events: pyrexia, hemorrhage, injection site reaction, arthralgia, headache, hypertension, hypotension, nausea, vomiting, pain, edema, and rash.
    • Patients with disseminated intravascular coagulation (DIC), advanced atherosclerotic disease, crush injury, septicemia, or concomitant treatment with activated or nonactivated prothrombin complex concentrates (aPCCs/PCCs) may have a potential risk of developing thrombotic events in association with NovoSeven® treatment.
    • Use with caution in patients with known hypersensitivity to NovoSeven®, its components, or mouse, hamster, or bovine proteins.
    • Serious adverse events that may or may not have been related to the use of NovoSeven® in acquired hemophilia (10 of 139 patients in the compassionate use program, HTRS registry, and the published literature) included thrombotic serious adverse events and death.
    • Serious adverse events that may or may not have been related to the use of NovoSeven® occurred in 14 of 298 patients with hemophilia A or B with inhibitors in the initial clinical program.
    • Development of antibodies against FVII has been reported in FVII-deficient patients after treatment with NovoSeven®. These patients had previously been treated with human plasma and/or plasma-derived FVII.
    • Concomitant use of NovoSeven® RT with other formulations of NovoSeven® is not recommended due to potential dosing errors based on different concentrations.
    • The effect of prolonged post-hemostatic dosing of NovoSeven® RT has not been extensively studied in a clinical setting.

    Please see Prescribing Information.