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Universal Billing Codes

All codes listed are for informational purposes only. CPT codes provided are based on AMA guidelines. The treating physician is solely responsible for diagnosis coding. The billing party is solely responsible for the CPT coding. Please direct any questions regarding coding to the payer being billed.

Brand Name
Generic Name
NDC

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

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

Carimune NF® Nanofiltered J-1566
Appropriate HCPCS code should be verified with insurer.
279.00 279.01
279.02
279.03
279.04
279.12
279.2
279.06
90765
90766
G0332

Cytogam®

J-0850
Appropriate HCPCS code should be verified with insurer

078.5 with
996.81
996.82
996.83
996.84
996.86

90765
90766

Helixate® FS

J-7192
Appropriate HCPCS code should be verified with insurer

286.0

90765
90766
90774



Humate-P®

J-7187
Appropriate HCPCS code should be verified with insurer

286.0
286.4

90765
90766
90774



Monoclate-P®

J-7190
Appropriate HCPCS code should be verified with insurer

286.0

90765
90766
90774



Mononine®

J-7193
Appropriate HCPCS code should be verified with insurer

286.1

90765
90766
90774

Privigen® Q-4097 - effective 4/1/08
Appropriate HCPCS code should be verified with insurer; include drug NDC number
279.00 279.01
279.02
279.03
279.04
279.12
279.2
279.06
90765
90766

Rhophlyac®

J-2791
Appropriate HCPCS code should be verified with insurer

287.31
656.0
656.1
656.2
V07.2

90774
90772
90765
90766

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
279.12
279.2
279.06

90769
90770
90771

New CPT Codes effective 1/1/2008.
Appropriate CPT code should be verified with insurer


Zemaira®

J-0256
Appropriate HCPCS code should be verified with insurer

273.4

90765
90766