Welcome to the Department of Health Care Services Welcome to Medi-Cal Welcome to the Department of Health Care Services

Medi-Cal Logo
Click to Sign Up for MCSS emails

Antihemophilic Factor Kovaltry Available Without TAR

June 28, 2016

Effective for dates of service on or after April 1, 2016, antihemophilic factor, Kovaltry®, is available for reimbursement without a Treatment Authorization Request (TAR). Kovaltry is billed under HCPCS code J7192 (factor VIII [antihemophilic factor, recombinant], per IU, not otherwise specified).

Note:

Kovaltry for California Children’s Services/Genetically Handicapped Persons Program (CCS/GHPP) clients still requires an approved CCS or GHPP Service Authorization Request (SAR).  

This change will be reflected in the provider manual in a future Medi-Cal Update.