You Be the Coder:
Rhogam Injection With Hirsutism
Published on Sun Sep 01, 2002
Test your coding knowledge. Determine how you would code this situation before looking at the box below for the
answer.
Question: What is the code for performing a vaginal pH, a diagnosis of hirsutism, and a code for injecting Rhogam (not the drug, just the injection fee)?
Oklahoma Subscriber
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Answer: Code 83986 (pH, body fluid, except blood) is reported for a vaginal pH. It is a CLIA (Clinical Laboratory Improvement Amendments of 1988) waived test that you can bill for if you have applied for and been granted a certificate. If you perform even one test, the federal government considers you a laboratory and you must register with the CLIA program. To do this you must fill out the HCFA-116 form (which can be obtained directly from the Web site www.cms.hhs.gov/clia/cliaapp.asp). You then send this form to your local state agency for processing.
The ICD-9 code for hirsutism is 704.1, and the CPT code for injecting the Rhogam is 90782 (Therapeutic, prophylactic or diagnostic injection [specify material injected]; subcutaneous or intramuscular). If you were also billing for the drug, depending on the dosage, you would report CPT codes 90384 (Rho[D] immune globulin [RhIg], human, full-dose, for intramuscular use), 90385 ( mini-dose ...) or HCPCS code J2790 (Injection, Rho[D], immune globulin, human, 1 dose package). |
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