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Universal Billing Codes
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) | 63833-825-02 | | 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) Formulated With Sucrose | 00053-8130-01 00053-8130-02 00053-8130-04 | | Humate-P® | Antihemophilic Factor/von Willebrand Factor Complex (Human) Dried Pasteurized | 00053-7615-05 00053-7615-10 00053-7615-20 | | Monoclate-P® | Antihemophilic Factor (Human) Factor VIII: C Pasteurized, Monoclonal Antibody Purified | 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 | | Vivaglobin® | Immune globulin, subcutaneous, (Human) | 00053-7596-03 00053-7596-10 00053-7596-15 00053-7596-20 00053-7596-25 | | Zemaira® | Alpha1–Proteinase Inhibitor (Human) | 00053-7201-02 | | Brand Name | HCPCS Code | ICD-9 Code | CPT Code | | Berinert® | J3490 J3590 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 | | 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® | J3490 J3590 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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