Procedure Codes and Billing Guidelines:

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Procedure Codes and Billing Guidelines:

 

To report provider services, use appropriate CPT** codes, Modifiers, Alpha Numeric (HCPCS level 2) codes, Revenue codes, and/or ICD-9-CM diagnostic codes

HCPCS J1566 Injection, immune globulin, intravenous, lyophilized (e.g., powder), 500 mg

HCPCS J1568 Injection, immune globulin, (Octogam), intravenous, non-lyophilized, (e.g. liquid), 500 mg

HCPCS J1569 Injection, immune globulin, (Gammagard liquid), intravenous, non-lyophilized, (e.g. liquid), 500 mg

HCPCS J1572 Injection, immune globulin, (Flebogamma), intravenous, non-lyophilized, (e.g. liquid), 500 mg

HCPCS J1561 Injection, immune globulin, (Gamunex), intravenous, non-lyophilized, (e.g. liquid), 500 mg

HCPCS J1562 Injection, immune globulin (Vivaglobin), 100 mg

HCPCS J1459 Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

CPT 90283 Immune globulin (IgIV), human, for intravenous use

CPT 90284 Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

CPT 96369 Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)

CPT 96370 Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

CPT 96371 Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for primary procedure