Rho immune globulin

becca12

Networker
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Idaho
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Hello,

A coder and I had a discussion about CPT code 90384 and J2790. Does anyone know the correct one to report? They are both valid codes.

Thank you
Rebecca
 

scicchitanoa

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Charlottesville, VA
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J2790 vs 90384

Here is some info that may help you determine which to charge:


J2790 - Rho D Immune Globulin INJ, 300 micrograms (1500 I.U.)


90384 - Rho D Immune Globulin, human, full dose, for intramuscular use


Hope this helps! Ashley
 

twinpw

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Cocoa, FL
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J2790 and 90384 are the same code. The J code is for Medicare and 990384 code is for commercial insurances. Medicare does not recognize the 90384 code. My research shows that that Medicaid and ILM products may accept the J2790, depending on the ins company’s contract, but most lean toward the 90384. The J code has a dosage of 300 mcq (1500 i.u.) per the code book. The J codes are broken down by doses (J2788-J2792). And the 90384 is “full dose” (90385 is the “mini dose”).
 
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