Wiki Rho immune globulin

[becca12]

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]

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

 

[becca12]

So I am confused if the doctor injects it in the office what code do you use?

 

[kumeena]

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

I use J2790

 

[Lisa Bledsoe]

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

It depends on the payor. Either one can be reported with 96372 as the administration code.

 

[twinpw]

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”).

 

[JenFerDawn93]

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”).

Thank you so much, this clarification was helpful!