Question 1

What is HCPCS code J2790?

Accepted Answer

HCPCS code J2790 is "Rho d immune globulin inj". Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)

Question 2

What category is J2790 in?

Accepted Answer

J2790 belongs to HCPCS Category J (Drugs Administered Other Than Oral).

Question 3

When should I use HCPCS code J2790?

Accepted Answer

Use J2790 when billing for rho d immune globulin inj. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

What ICD-10 codes are commonly used with J2790?

Accepted Answer

Common ICD-10 diagnosis codes used with J2790 include: D69.3 (Immune thrombocytopenic purpura). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is J2790 covered by Medicare?

Accepted Answer

Coverage for J2790 (Rho d immune globulin inj) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 6

What documentation is required for J2790?

Accepted Answer

Documentation for J2790 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).