How To Use CPT Code 90384

CPT 90384 describes the administration of a full dose of human Rho(D) immune globulin (RhIg) for intramuscular use. 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 90384?

CPT 90384 can be used to report the administration of a full dose of human Rho(D) immune globulin (RhIg) for intramuscular use. This code is used when a healthcare provider administers the injection to the patient to prevent Rhesus disease or hemolytic disease of a newborn.

2. Official Description

The official description of CPT code 90384 is: ‘Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use.’

3. Procedure

1. The healthcare provider inspects the injection site.
2. Using an appropriately sized needle, the provider administers a full dose of human Rho(D) immune globulin (RhIg) into the patient’s muscle.
3. The injection is done to produce a short-term immunity and prevent Rhesus disease or hemolytic disease of a newborn.

4. Qualifying circumstances

CPT 90384 is used when a full dose of human Rho(D) immune globulin (RhIg) is administered to prevent Rhesus disease or hemolytic disease of a newborn. This procedure is typically performed on patients who are at risk of developing these conditions, such as Rh-negative pregnant women.

5. When to use CPT code 90384

CPT code 90384 should be used when a healthcare provider administers a full dose of human Rho(D) immune globulin (RhIg) for intramuscular use to prevent Rhesus disease or hemolytic disease of a newborn. It should not be used for any other purposes or in different dosage forms.

6. Documentation requirements

To support a claim for CPT 90384, the healthcare provider must document the following information:

• Patient’s medical history and indication for the administration of Rho(D) immune globulin (RhIg)
• Date and time of the injection
• Injection site inspection
• Details of the injection procedure, including the use of an appropriately sized needle
• Any adverse reactions or complications
• Signature of the healthcare provider administering the injection

7. Billing guidelines

When billing for CPT 90384, ensure that the administration of a full dose of human Rho(D) immune globulin (RhIg) is documented and performed for intramuscular use. It should not be reported with other codes unless specifically instructed by the payer. Follow the specific guidelines provided by the payer for accurate and appropriate billing.

8. Historical information

CPT 90384 was added to the Current Procedural Terminology system on January 1, 1999. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider administers a full dose of human Rho(D) immune globulin (RhIg) to a Rh-negative pregnant woman to prevent Rhesus disease.
2. A nurse administers a full dose of human Rho(D) immune globulin (RhIg) to a newborn baby whose mother is Rh-negative.
3. A physician administers a full dose of human Rho(D) immune globulin (RhIg) to a patient who has experienced a potential sensitizing event, such as a miscarriage or trauma.
4. A midwife administers a full dose of human Rho(D) immune globulin (RhIg) to a pregnant woman who is Rh-negative and has a partner who is Rh-positive.
5. A healthcare provider administers a full dose of human Rho(D) immune globulin (RhIg) to a patient who is undergoing an invasive procedure that may lead to fetal-maternal hemorrhage.
6. A nurse administers a full dose of human Rho(D) immune globulin (RhIg) to a patient who has received a blood transfusion from an Rh-positive donor.
7. A physician administers a full dose of human Rho(D) immune globulin (RhIg) to a patient who has experienced a potential sensitizing event, such as an ectopic pregnancy or amniocentesis.
8. A midwife administers a full dose of human Rho(D) immune globulin (RhIg) to a pregnant woman who is Rh-negative and has a partner with an unknown Rh status.
9. A healthcare provider administers a full dose of human Rho(D) immune globulin (RhIg) to a patient who has experienced a potential sensitizing event, such as a stillbirth or chorionic villus sampling.
10. A nurse administers a full dose of human Rho(D) immune globulin (RhIg) to a patient who has received a solid organ transplant from an Rh-positive donor.