AAPC - Back to school
Results 1 to 5 of 5

Thread: NC Medicaid & Rhogam

  1. #1

    Question NC Medicaid & Rhogam

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Kansas City, MO


    What CPT code are you using?
    Angela Jordan, CPC
    AAPC of Kansas City
    National Advisory Board Representative Region 5

    Medical Revenue $olutions
    Senior Managing Consultant


  3. #3
    Join Date
    Apr 2007
    North Carolina


    NC requires J2790. As for your denial, do you know if the manufacturer has signed an agreement (since it denied for non-rebatable)

  4. #4


    We are using J2790.

  5. #5


    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.

Similar Threads

  1. Rhogam Injection
    By ewilliams in forum OB/GYN
    Replies: 4
    Last Post: 04-05-2016, 10:33 AM
  2. Rhogam
    By acleveland@wcotb.com in forum OB/GYN
    Replies: 1
    Last Post: 05-31-2013, 12:24 PM
  3. Rhogam injection for michigan medicaid patient
    By medicalbiller1964 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 11-19-2010, 09:37 AM
  4. RhoGAM Injection
    By lromero in forum OB/GYN
    Replies: 4
    Last Post: 08-22-2008, 03:07 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.