Blood clotting factors (J7187-J7199, Q4096) for hemophilia patients with any of the following diagnoses may be covered to control bleeding:

• Factor VIII deficiency (classic hemophilia)(286.0)
• Factor IX deficiency (also termed plasma thromboplastin component (PTC) or Christmas factor deficiency)(286.1)
• Von Willebrand's disease (286.4)

When using NovoSeven® Coagulation Factor VIIa (Recombinant)(J7189), special consideration needs to be given as the Food and Drug Administration (FDA) approved indications are limited to the following:

• treatment of bleeding episodes in hemophilia A or B patients with inhibitors to Factor VIII or Factor IX
• prevention of bleeding in surgical interventions or invasive procedures in hemophilia A or B patients with inhibitors to Factor VIII or Factor IX
• treatment of bleeding episodes in patients with congenital FVII deficiency
• prevention of bleeding in surgical interventions or invasive procedures in patients with congenital FVII deficiency

The use of blood clotting factors other than the FDA labeled indications is considered experimental/investigational and therefore, not covered. A participating, preferred, or network provider can bill the member for the denied service.

The amount of clotting factors determined to be necessary to have on hand and thus covered under this provision will be based on the historical utilization pattern or profile developed for each patient. It is expected that the treating source, e.g., a family physician or Comprehensive Hemophilia Diagnostic and Treatment Center, will have such information. Unanticipated occurrences involving extraordinary events such as automobile accidents, inpatient hospital stays, etc., will change this base line data and will be appropriately considered. In addition, changes in a patient's medical needs over a period of time require adjustments in the profile.

A patient profile form is required for each patient receiving these factors. The information must be updated and available upon request. This information must include the following:

• Patient's name, address, phone number, date of birth, height, and weight
• Allergies, insurance ID number, patient's diagnosis, and appropriate diagnosis code
• Factor prescribed (include manufacturer, brand name, and procedure code)
• Percentage level, inhibitor present, approximate number of units per dose, and doses per month

Incomplete information will result in a denial of services. Additionally the treating physician's name, provider number, date, and the provider's signature, must accompany the profile and prescription. (NOTE: It is not appropriate for the profile to state "signature on file.") The prescription must be rewritten yearly.

NOTE:

Coverage for blood clotting factors is determined according to individual or group customer benefits. Blood clotting factors are not reimbursable under the prescription benefit.

Description

Hemophilia, a blood disorder characterized by prolonged coagulation time, is caused by a deficiency of a factor in the plasma necessary for blood to clot.

NOTE:

This policy is designed to address medical guidelines that are appropriate for the majority of individuals with a particular disease, illness, or condition. Each person's unique clinical circumstances may warrant individual consideration, based on review of applicable medical records.

Under the Federal Employee Program, all services that utilize FDA-approved drugs, devices, or biological products are eligible when intended for the treatment of a serious or life-threatening condition and when medically necessary and appropriate for the patient’s condition.

Highmark Medicare Services MPB I-4, Hemophilia Clotting Factors

Grifols Biologicals Inc. Alphanate® (antihemophilic Factor/von willebrand Factor Complex [Human]) package insert. Los Angeles, CA: Grifols Biologicals Inc., January, 2007