Question

A pregnant female is rh negative and at 28 weeks gestation. the child's father is rh positive. the mother is given an injection of a high-titer rho (d) immune globulin, 300 mcg, im. what cpt® and icd-10-cm codes are reported?

Answer 1

Answer:90384, 96372, O36.0130, Z3A.28

Explanation:When a mother is Rh negative and the father is Rh positive, the fetus is generally Rh positive, and fetal hemolytic anemia may develop in the fetus.   In the CPT® Index look for Immune Globulins/Rho (D) and you are directed to code range 90384-90386.  A full dose is 300 mcg.  Code 90384 is reported.  According to the guidelines for Immune Globulins an administration code is also reported.  In the CPT® Index look for Immune Globulin Administration/Injection directing you to 96372. The administration code for intramuscular injection is 96372.

In the ICD-10-CM Alphabetic Index look for Rh (factor)/incompatibility, immunization or sensitization/affecting management of pregnancy NEC/anti-D antibody which directs you to O36.01-.  Tabular List shows seven characters are needed to complete the code. The 6 th character 3 is used to indicate the patient is in her 3 rd trimester. The 7 th character 0 is used to indicate this is a single gestation. Next look for Pregnancy/weeks of gestation/28 directing you to Z3A.28.

Answer 2

Anti-D immunoglobulins or anti-D (RH) immunoglobulins are a variety of immunoglobulins (IgG). These are proteins that play an important role in our immune system.

Anti-D immunoglobulins are obtained from human blood taken from volunteer donors. They are administered in the pregnant woman in case of incompatibility of rhesus between her and the child.

The CPT codes are:

90384 an 90385 for intramuscular use .

90386 for intravenous use.

The icd-10-cm code is Z29.13.