About this policy
The billing and coding information in this article is dependent on the coverage indications, limitations and/or medical necessity described in the related LCD. Documentation Requirements Medical records must include the indications to support using IVIG. For those indications stating routine use is not indicated, the medical record must document the interventions that were unsuccessful or the reason they were not tolerated. Documentation must support objective response for continued coverage. Medical Records must be made available to the Contractor upon request.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Showing the first 1,000 of 1,203 codes. The source has the full list.
| Code | Code system | Status in this policy |
|---|---|---|
| 90371 | HCPCS | Covered |
| 90375 | HCPCS | Covered |
| 90376 | HCPCS | Covered |
| 90393 | HCPCS | Covered |
| 90396 | HCPCS | Covered |
| 96365 | HCPCS | Covered |
| 96366 | HCPCS | Covered |
| 96372 | HCPCS | Covered |
| J0840 | HCPCS | Covered |
| J0850 | HCPCS | Covered |
| J1459 | HCPCS | Covered |
| J1460 | HCPCS | Covered |
| J1552 | HCPCS | Covered |
| J1554 | HCPCS | Covered |
| J1556 | HCPCS | Covered |
| J1557 |