RhIG billing

[Laura Mc]

We issue RhIG (Rhophylac) from our Transfusion Service. For the OB clinics we give them 10 RhIG vials,they log who got those vials and return the log sheet to us. There are different codes for RhIG. CPT code 90386 Rho(D) immune globulin (RhIgIV), human, for intravenous use and a HCPCS code J2791 Injection, Rho (D) immune globulin (human), (Rhophylac), intramusclar or intravenous, 100 IU. Which code should we be using to be billign the patient.

[Kimster]

Good morning, according to the way it is administered the information needed on the insurance claim form is as follows (using a uniform claim form)

Field 19- enter name of drug and NDC number

44206-300-1 : 1 prefilled 2ml syringe 1500 IU (300mcg)

Field 21- enter all ICD-9-CM diagnosis codes

For suppresion of Rh isoimmunization in pregnancy and obstetric conditions:

656.0- Fetal maternal hemorrhage- leakage(microscopic) of fetal

blood into maternal circulation

656.1- Rhesus isoimmunization-anti-D antibodies

Rh incompatibility

-5th digit required

0-unspecified as to the episode of care or not

applicable

1-Delivered with or without mention of antepartum

condition

3- Antepartum condition or complication

Field 24D-Enter the HCPCS codes that correctly describe the procedure

performed or enter the the appropriate CPT codes

J2791- Injection Rho(D) immune globulin (Human), (Rhophylac),

Intramuscular or Intravenous, 100IU

Field 24E-Enter the corresponding ICD-9-CM diagnosis code

(see field 21 above)

Field 24F- Medication charges/Procedural charges -$

Field 24G- Enter total billable units of Rhophylac administered

I hope this helps ask your sales rep for their coding sheet like I did.

Kim