How To Use CPT Code 90284

CPT 90284 describes the administration of subcutaneous immunoglobulin (SCIg) for short-term immunity against various types of infections. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 90284?

CPT 90284 can be used to describe the administration of subcutaneous immunoglobulin (SCIg) to provide short-term immunity against different infections. This code is used when a healthcare provider injects 100 mg of SCIg into the subcutaneous skin of the thigh, abdomen, upper arm, or hip using an appropriate needle.

2. Official Description

The official description of CPT code 90284 is: ‘Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each.’

3. Procedure

1. The healthcare provider selects the appropriate needle size and administers 100 mg of SCIg via subcutaneous infusion.

4. Qualifying circumstances

CPT 90284 is used when a patient requires short-term immunity against various types of infections. The patient must receive subcutaneous infusions of SCIg, and each infusion should contain 100 mg of the immunoglobulin. The administration should be performed by a qualified healthcare provider.

5. When to use CPT code 90284

CPT code 90284 should be used when a healthcare provider administers 100 mg of SCIg via subcutaneous infusion to provide short-term immunity against infections. It is important to note that this code should not be used for other types of immunoglobulin administration or for long-term immunity purposes.

6. Documentation requirements

To support a claim for CPT 90284, the healthcare provider must document the following information:

• Patient’s need for short-term immunity against infections
• Date and time of the subcutaneous infusion
• Location of the infusion (thigh, abdomen, upper arm, or hip)
• Amount of SCIg administered (100 mg)
• Signature of the healthcare provider performing the administration

7. Billing guidelines

When billing for CPT 90284, ensure that the administration is performed by a qualified healthcare provider and that 100 mg of SCIg is administered via subcutaneous infusion. Report the administration code separately and do not report it with other codes unless necessary. It is important to follow the specific guidelines provided by the payer to ensure accurate billing.

8. Historical information

CPT 90284 was added to the Current Procedural Terminology system on January 1, 2008. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider administers 100 mg of SCIg via subcutaneous infusion to a patient with a compromised immune system.
2. A qualified professional injects 100 mg of SCIg into the subcutaneous skin of a patient’s thigh to provide short-term immunity against infections.
3. A healthcare provider performs a subcutaneous infusion of 100 mg of SCIg to boost a patient’s immune response.
4. A patient receives a subcutaneous injection of 100 mg of SCIg to prevent infections during a specific period.
5. A healthcare provider administers 100 mg of SCIg via subcutaneous infusion to a patient with a known susceptibility to certain infections.
6. A qualified professional injects 100 mg of SCIg into the subcutaneous skin of a patient’s abdomen to enhance their immune system temporarily.
7. A healthcare provider performs a subcutaneous infusion of 100 mg of SCIg to provide short-term protection against infections for a patient undergoing a medical procedure.
8. A patient receives a subcutaneous injection of 100 mg of SCIg to prevent infections during a period of increased vulnerability.
9. A healthcare provider administers 100 mg of SCIg via subcutaneous infusion to a patient with a specific medical condition that weakens their immune system.
10. A qualified professional injects 100 mg of SCIg into the subcutaneous skin of a patient’s upper arm to provide temporary immunity against infections.