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Official Description

Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu
Short Descr Rhophylac injection
Related Drugs Rhophylac
Coverage Special coverage instructions apply
Pricing Indicator(s) 51 – Drugs
MPI A – Not applicable, as HCPCS priced under one methodology
MCM 2049
BETOS O1E – Other drugs
TOS Code(s) 1 – Medical care
Added Date 1/1/2008
Status Code Excluded from Physician Fee Schedule by Regulation
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Items and Services Packaged into APC Rates
ASC Payment Indicator Packaged service/item; no separate payment made.
MUE 15
MUE Not applicable/unspecified.
IOM 100-02, 15, 50
OTS Orthotic No
CCS Clinical Classification 240 - Medications (Injections, infusions and other forms)
JZ Zero drug amount discarded/not administered to any patient
GZ Item or service expected to be denied as not reasonable and necessary
UD Medicaid level of care 13, as defined by each state
Date
Action
Notes
2008-01-01 Added Code added 1/1/2008
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