This resource provides information from a complex and evolving medical coding system. The treating physician is solely responsible for diagnosis coding and determination of the appropriate ICD-9-CM codes that describe the patient's condition and are supported by the medical record. All codes listed in this guide are for informational purposes and are not an exhaustive list. The CPT, HCPS, and ICD-9-CM codes provided are based on AMA or CMS guidelines. The billing party is solely responsible for coding of services (eg, CPT coding). Because government and other third-party payor coding requirements change periodically, please verify current coding requirements directly with the payor being billed.

Brand Name

Generic Name

NDC

Berinert®

CI Esterase Inhibitor (Human)

63833-0825-02

Carimune® NF Nanofiltered

Immune Globulin Intravenous (Human)

44206-0416-03
44206-0417-06
44206-0418-12

Cytogam®

Cytomegalovirus immune globulin, intravenous (Human)

44206-3101-10

Helixate® FS

Antihemophilic Factor VIII (Recombinant)

00053-8131-02
00053-8132-02
00053-8133-02

00053-8134-02

00053-8135-02

Hizentra"

Immune Globulin Subcutaneous (Human) 20% Liquid

44206-0451-01

44206-0452-02

44206-0454-04

Humate-P®

Antihemophilic Factor/von Willebrand Factor Complex (Human) Dried Pasteurized

00053-7615-05
00053-7615-10
00053-7615-20
63833-0615-02
63833-0616-02
63833-0617-02

Monoclate-P®

Antihemophilic Factor
(Human) Factor VIII: C Pasteurized,
Monoclonal Antibody Purified

00053-7656-01
00053-7656-02
00053-7656-04
00053-7656-05

Mononine®

Coagulation Factor IX (Human),
Monoclonal Antibody Purified

00053-7668-02
00053-7668-04

Privigen®

Immune Globulin Intravenous (Human) 10% Liquid

44206-0436-05
44206-0437-10
44206-0438-20

Rhophylac®

Rho(D)Immune Globulin Intravenous (Human), For intravenous or intramuscular injection

44206-0300-01
44206-0300-10

RiaSTAP®

Fibrinogen Concentrate (Human)

63833-8915-1

Stimate®

(desmopressin acetate) Nasal Spray, 1.5 mg/mL

00053-2453-00
00053-6871-00

Vivaglobin®

Immune globulin, subcutaneous, (Human)

00053-7596-01
00053-7596-03
00053-7596-10
00053-7596-15
00053-7596-20
00053-7596-25

Zemaira®

Alpha1Proteinase Inhibitor (Human)

00053-7201-02

Brand Name	HCPCS Code	ICD-9 Code	CPT Code
Berinert®	J0597 Appropriate HCPCS Code should be verified with insurer	277.6	96374 96375 96376 96379
Carimune NF® Nanofiltered	J-1566 Appropriate HCPCS code should be verified with insurer.	279.00 279.01 279.02 279.03 279.04 279.05 279.12 279.2 279.06	96365 96366
Cytogam®	J-0850 Appropriate HCPCS code should be verified with insurer	078.5 with 996.81 996.82 996.83 996.84 996.86	96365 96366
Helixate® FS	J-7192 Appropriate HCPCS code should be verified with insurer	286.0	96374 96376
Hizentra"	J1559 Appropriate HCPCS code should be verified with insurer	279.00 279.01 279.02 279.03 279.04 279.05 279.06 279.12 279.2	96369 96370 96371
Humate-P®	J-7187 Appropriate HCPCS code should be verified with insurer	286.0 286.4	96365 96366 96374 96376
Monoclate-P®	J-7190 Appropriate HCPCS code should be verified with insurer	286.0	96374 96376
Mononine®	J-7193 Appropriate HCPCS code should be verified with insurer	286.1	96374 96376
Privigen®	J-1459 Appropriate HCPCS code should be verified with insurer; include drug NDC number	279.00 279.01 279.02 279.03 279.04 279.05 279.06 279.12 279.2	96365 96366
Rhophlyac®	J-2791 Appropriate HCPCS code should be verified with insurer	287.31 656.0 656.1 656.2 V07.2	96374 96372 96375 96376
RiaSTAP®	J1680 Appropriate HCPCS code should be verified with insurer	286.3 286.9	96374 96365 96366
Stimate®	J-3490 Appropriate HCPCS code should be verified with insurer	286.0 (mild to moderate) 286.4 (Type I)	99080
Vivaglobin®	J-1562 Appropriate HCPCS code should be verified with insurer	279.00 279.01 279.02 279.03 279.04 279.05 279.12 279.2 279.06	96369 96370 96371
Zemaira®	J-0256 Appropriate HCPCS code should be verified with insurer	273.4	96365 96366 96374 96376

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