HCPCS code J2791 — Rhophylac injection.
Status: Active.
Effective Jan 1, 2016.
Source: CMS HCPCS Level II.
J2791
ActiveRhophylac injection
Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2016
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J2791 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 15 |
| Practitioner Services | 15 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 44206-0300-01 | Rhophylac |
| 44206-0300-10 | Rhophylac |