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NC Medicaid & Rhogam

  1. Question NC Medicaid & Rhogam
    Medical Coding Books
    Medicaid of NC will not pay for Rhogam with NDC # 00562 7805 05. They state the drug is non-rebatable. Have other offices had this same problem and if so, what did you do to rectify this issue? Any help would be greatly appreciated.

  2. #2
    Location
    Kansas City, MO
    Posts
    751
    Default
    What CPT code are you using?
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    NC requires J2790. As for your denial, do you know if the manufacturer has signed an agreement (since it denied for non-rebatable)

  4. Default
    We are using J2790.

  5. Default
    I'm not sure. I went to a OB/GYN conference a few months ago and was told that Medicaid (NC) was requiring the use of Rhophylac instead of Rhogam.

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