{"id":183246,"date":"2026-08-18T08:07:34","date_gmt":"2026-08-18T08:07:34","guid":{"rendered":"https:\/\/pabau.com\/?p=183246"},"modified":"2026-08-18T08:07:36","modified_gmt":"2026-08-18T08:07:36","slug":"hcpcs-code-j2788","status":"publish","type":"post","link":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/","title":{"rendered":"HCPCS Code J2788: Rho D immune globulin minidose billing guide"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"HCPCS Code J2788: Rho D Immune Globulin Minidose Billing Guide\",\"description\":\"HCPCS Code J2788 (Rho D immune globulin, minidose, 50 mcg) billing guide covering ICD-10 codes, Medicare reimbursement, modifiers, documentation, and denial prevention.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j2788\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-02-15\",\"dateModified\":\"2026-02-15\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>HCPCS Code J2788 describes injection of Rho(D) immune globulin, human, minidose, 50 micrograms (250 IU), administered intramuscularly for Rh-negative patients.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Bill one unit per 50 mcg dose. Brand names include HyperRHO S\/D Mini-Dose and MICRhoGAM Ultra-Filtered PLUS.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Most payers want the NDC on the J2788 claim line, reported with the N4 qualifier and the 11-digit code.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Medicare reimburses J2788 at ASP+6% under buy-and-bill for physicians; hospital outpatient departments use OPPS pricing instead.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau maps HCPCS codes to patient records, so J2788 claims carry the right dose and NDC.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">HCPCS Code J2788 is the billable code for an injection of Rho(D) immune globulin, human, minidose, 50 micrograms (250 IU), given intramuscularly. It applies to Rh-negative patients who need Rh immunoprophylaxis after a first-trimester obstetric event.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Three things decide whether a J2788 claim pays on first submission:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The unit count matches the dose in the chart<\/li>\n\n\n\n<li>The diagnosis sits on the payer&#8217;s covered list<\/li>\n\n\n\n<li>The NDC appears on the claim line with the N4 qualifier<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The full 300 mcg dose is billed under J2790. Code selection follows the dose documented in the record, not the gestational age on its own.<\/p>\n\n\n\n<h2 id=\"h-hcpcs-code-j2788-definition-and-code-details\" class=\"wp-block-heading\">HCPCS Code J2788: Definition and code details<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">HCPCS Code J2788 describes the injection of Rho(D) immune globulin, human, minidose, at a dose of 50 micrograms (250 IU). The drug is given by intramuscular injection. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code falls under the HCPCS Level II J-code category for injectable drugs. It has been active since January 1, 1987, and remains current for 2026.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CMS owns the code set and revises it every year, so the description below is worth re-checking each January. You can read the definitions in the official HCPCS code set.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Details<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">HCPCS code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">J2788<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Long description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, rho d immune globulin, human, minidose, 50 micrograms (250 IU)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Short description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Rho d ig im 50 mcg<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Route of administration<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Intramuscular (IM)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billing unit<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1 unit = 50 mcg (250 IU)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Drug type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Immunological agent \/ biologic<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Effective date<\/td>\n<td style=\"padding:12px 16px;color:#374151\">January 1, 1987<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Status (2026)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-brand-names-and-drug-information\" class=\"wp-block-heading\">Brand names and drug information<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Two FDA-approved brand products map to HCPCS Code J2788. Both are formulated at the 50 mcg minidose strength and given intramuscularly. The chart names the brand, so match it to the code before the claim is built.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Brand name<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Manufacturer<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Strength<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">HCPCS code<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">HyperRHO S\/D Mini-Dose<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Grifols<\/td>\n<td style=\"padding:12px 16px;color:#374151\">50 mcg (250 IU)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">J2788<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">MICRhoGAM Ultra-Filtered PLUS<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Kedrion Biopharma Inc.<\/td>\n<td style=\"padding:12px 16px;color:#374151\">50 mcg (250 IU)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">J2788<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>NDC reporting requirement:<\/strong> Many payers, including Medicare, want the National Drug Code (NDC) on the same claim line as J2788. Report it as the N4 qualifier, the 11-digit code, the unit of measure (UN), and the quantity administered.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NDC numbers change with manufacturing lots. Check the code for the vial actually administered against the FDA&#8217;s <a href=\"https:\/\/dps.fda.gov\/ndc\" target=\"_blank\" rel=\"nofollow noopener\">NDC Directory<\/a>, rather than a static reference list. That one habit closes off a whole denial category and gets you to a <a href=\"https:\/\/pabau.com\/blog\/clean-claim\/\">clean claim<\/a> sooner.<\/p>\n\n\n\n<h2 id=\"h-clinical-indications-and-covered-diagnoses\" class=\"wp-block-heading\">Clinical indications and covered diagnoses<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Rh-negative patients need passive immunization to stop sensitization against Rh-positive red blood cells. J2788 covers the minidose used for early first-trimester events, where fetal-maternal hemorrhage is small in volume.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Untreated Rh incompatibility can cause hemolytic disease of the fetus and newborn in a later pregnancy. The 300 mcg full dose, billed as J2790, covers later pregnancy, delivery, and larger bleeds.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/industry\/obgyn-emr-software\/\">OB\/GYN practices<\/a> bill J2788 most often, though <a href=\"https:\/\/pabau.com\/industry\/fertility-clinic-software\/\">fertility practices<\/a> manage the same first-trimester events.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare and most commercial payers check the billed diagnosis against their covered indications list before authorizing payment. CMS publishes <a href=\"https:\/\/www.cms.gov\/medicare\/regulations-guidance\/physician-self-referral\/list-cpt-hcpcs-codes\" target=\"_blank\" rel=\"nofollow noopener\">the annual code list<\/a> that sits behind those decisions.<\/p>\n\n\n\n<h3 id=\"h-icd-10-cm-codes-used-with-j2788\" class=\"wp-block-heading\">ICD-10-CM codes used with J2788<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">These ICD-10-CM codes are the ones most commonly paired with J2788 claims. Cross-reference the current CMS Local Coverage Article A56786 for the definitive covered list.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical scenario<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">O36.0110<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Maternal care for anti-D antibodies, first trimester, not applicable\/unspecified<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Rh sensitization prevention, first trimester<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">O03.9<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Complete or unspecified spontaneous abortion without complication<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Post-miscarriage Rh prophylaxis<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">O20.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Threatened abortion<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Minidose given during threatened abortion with active bleeding<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">O04.9<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Complications following elective termination of pregnancy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Post-termination Rh prophylaxis in first trimester<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">O08.9<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified complication following ectopic and molar pregnancy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Ectopic pregnancy with Rh-negative status<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Coverage verification tip:<\/strong> the ICD-10-CM codes that pay for J2788 shift with annual CMS updates. Confirm coverage against the current version of Article A56786 before billing, not a prior-year coding resource.<\/p>\n\n\n\n<h2 id=\"h-how-to-bill-j2788-units-modifiers-and-claim-setup\" class=\"wp-block-heading\">How to bill J2788: Units, modifiers, and claim setup<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Unit calculation causes more J2788 errors than anything else. Bill one unit for each 50 mcg dose administered.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Most first-trimester indications need a single minidose vial, so the claim line reads J2788 with one unit. If the record shows two vials of the 50 mcg product, bill two units.<\/p>\n\n\n\n<h3 id=\"h-applicable-modifiers\" class=\"wp-block-heading\">Applicable modifiers<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier requirements depend on the payer and the care setting. These are the ones you will meet most often.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Modifier<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When to use<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">JA<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Administered intravenously<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Not applicable to J2788, which is IM only. Avoid using it<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">JB<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Administered subcutaneously<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Not applicable to J2788, which is IM only. Avoid using it<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">SB<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Nurse midwife services<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When a certified nurse midwife billing independently administers the dose<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">GY<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Item or service statutorily excluded from the Medicare benefit<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When billing a non-covered indication for denial documentation<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">GZ<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Item or service expected to be denied as not medically necessary<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When medical necessity documentation may be thin but the claim goes out<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Claim line setup:<\/strong> place J2788 on its own line item. Report the NDC qualifier (N4), the 11-digit NDC number, the unit of measure (UN), and the quantity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bill the injection administration separately, usually CPT 96372 for a therapeutic IM injection. Never bundle administration into J2788. On an electronic submission, those fields travel inside the <a href=\"https:\/\/pabau.com\/blog\/837-file\/\">837 claim file<\/a>.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Audit your J2788 claims quarterly. Filter for denials coded CO-4 (inconsistent modifier) or CO-5 (procedure code inconsistent with modifier). Those two codes drive most modifier-related J2788 rejections. They are almost always fixable while the claim is still inside the filing window.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-medicare-reimbursement-and-fee-schedule\" class=\"wp-block-heading\">Medicare reimbursement and fee schedule<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare Part B covers J2788 when it is billed with a covered diagnosis under the buy-and-bill model. Payment is calculated through the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule<\/a>, which prices drugs on Average Sales Price rather than an RVU-based rate.<\/p>\n\n\n\n<h3 id=\"h-average-sales-price-asp-pricing\" class=\"wp-block-heading\">Average Sales Price (ASP) pricing<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Under Medicare Part B, physician offices that buy and administer J2788 are reimbursed at ASP+6%. The payment equals the drug&#8217;s Average Sales Price for that quarter, plus a 6% add-on. CMS updates ASP quarterly from manufacturer-reported sales data.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Physician office setting:<\/strong> ASP+6% under the buy-and-bill model<\/li>\n\n\n\n<li><strong>Hospital outpatient department:<\/strong> OPPS packaging rules apply, so J2788 may be folded into the APC rate instead of being paid separately<\/li>\n\n\n\n<li><strong>Critical access hospitals:<\/strong> cost-based reimbursement may apply, depending on the cost reporting method<\/li>\n\n\n\n<li><strong>ASP files:<\/strong> CMS publishes quarterly ASP drug pricing files at cms.gov. Always price from the current quarter&#8217;s file<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Important:<\/strong> never quote a dollar figure for ASP payment without naming the effective quarter. Rates move every three months, and a stale amount in a reference guide is a billing error waiting to happen.<\/p>\n\n\n\n<h2 id=\"h-j2788-vs-j2790-choosing-the-right-code\" class=\"wp-block-heading\">J2788 vs J2790: Choosing the right code<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Both codes describe Rho(D) immune globulin, and the only difference is dose. Billing J2790 for a first-trimester event invites a medical necessity denial. Billing J2788 when the full 300 mcg dose was given under-reports the drug and costs the practice money.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Attribute<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">J2788 (minidose)<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">J2790 (full dose)<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Dose<\/td>\n<td style=\"padding:12px 16px;color:#374151\">50 mcg (250 IU)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">300 mcg (1,500 IU)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Typical indication<\/td>\n<td style=\"padding:12px 16px;color:#374151\">First-trimester events before 12 weeks: threatened abortion, miscarriage, ectopic, elective termination<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Second and third trimester, antepartum at 28 weeks, postpartum, fetomaternal hemorrhage<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Brand names<\/td>\n<td style=\"padding:12px 16px;color:#374151\">HyperRHO S\/D Mini-Dose, MICRhoGAM Ultra-Filtered PLUS<\/td>\n<td style=\"padding:12px 16px;color:#374151\">RhoGAM Ultra-Filtered PLUS, HyperRHO S\/D Full Dose, Rhophylac<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billing unit<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1 unit per 50 mcg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1 unit per 300 mcg, or fractions thereof per payer policy<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Reimbursement basis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">ASP+6% per unit for Medicare in the physician office<\/td>\n<td style=\"padding:12px 16px;color:#374151\">ASP+6% per unit, with a higher per-unit payment for the larger dose<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Decision rule:<\/strong> code selection follows the dose actually administered, as documented in the clinical record. Gestational age guides the clinical decision about which dose to give, not the coding decision afterward.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Do not pick the code from the clinical scenario alone. The chart has to name the product, the dose in mcg, the route, and the patient&#8217;s Rh-negative status.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-j2788-claims\" class=\"wp-block-heading\">Documentation requirements for J2788 claims<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A J2788 claim needs documentation that establishes medical necessity, names the product administered, and confirms the patient&#8217;s Rh status. Incomplete documentation is the second most common reason these claims are denied, behind diagnosis code errors.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The clinical note is what backs the claim record, and it is the first thing a <a href=\"https:\/\/pabau.com\/blog\/medical-billing-compliance\/\">billing compliance<\/a> audit asks to see.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Patient Rh status:<\/strong> lab report confirming Rh-negative blood type on file in the patient record<\/li>\n\n\n\n<li><strong>Clinical indication:<\/strong> the obstetric event, with the date of onset or procedure<\/li>\n\n\n\n<li><strong>Gestational age:<\/strong> confirmed at the time of administration, which supports minidose versus full-dose selection<\/li>\n\n\n\n<li><strong>Drug name and lot number:<\/strong> the exact brand given, such as HyperRHO or MICRhoGAM, plus dose in mcg, route, and lot number from the vial<\/li>\n\n\n\n<li><strong>NDC number:<\/strong> recorded from the vial administered, not from a formulary reference<\/li>\n\n\n\n<li><strong>Administering provider:<\/strong> name and NPI of the provider who gave the injection<\/li>\n\n\n\n<li><strong>Prescribing provider:<\/strong> name and NPI of the ordering physician<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Structured <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital forms<\/a> capture all of this at the point of care, instead of leaving it to be reconstructed once a claim is challenged. Clear <a href=\"https:\/\/pabau.com\/blog\/medical-forms-at-your-healthcare-practice\/\">medical forms workflows<\/a> prompt for the lot number and NDC while the vial is still in hand.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-j2788\/digital-forms.webp\" alt=\"Pabau medical forms builder with a template library and form preview\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s medical forms builder lets you add Rh status, product, lot number, and NDC fields to the encounter note.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Build the J2788 checklist into your EHR template for Rh immunoprophylaxis encounters. Include fields for Rh status confirmed, gestational age, product name, lot number, NDC, dose administered, and diagnosis code selected. A completed checklist means a complete claim, and a complete claim means fewer denials.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-commercial-payer-billing-considerations\" class=\"wp-block-heading\">Commercial payer billing considerations<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare&#8217;s ASP+6% methodology does not carry over to commercial payers. Most commercial contracts price J2788 one of three ways: a percentage of Average Wholesale Price, a contracted fee schedule rate, or actual acquisition cost. Which one applies comes down to the contract.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prior authorization requirements differ too. Plenty of commercial plans want authorization before J2788 is administered, especially outside the standard obstetric indications. Run <a href=\"https:\/\/pabau.com\/blog\/insurance-eligibility-verification\/\">eligibility verification<\/a> at intake, so the front desk sees the requirement before the injection rather than after.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Verify coverage annually:<\/strong> contract rates get renegotiated, so last year&#8217;s rate may no longer hold<\/li>\n\n\n\n<li><strong>Check formulary status:<\/strong> some plans cover only specific brand products, so confirm which brands are on formulary before ordering<\/li>\n\n\n\n<li><strong>AWP billing:<\/strong> when the contract runs on an AWP percentage, use the current AWP from Red Book or Medi-Span rather than the label price<\/li>\n\n\n\n<li><strong>Secondary payer rules:<\/strong> when Medicare is secondary to a commercial plan, apply coordination of benefits before submitting<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Keeping a payer-specific billing reference inside your practice management system stops Medicare rules being applied to commercial claims. <a href=\"https:\/\/pabau.com\/blog\/ehr-integration\/\">EHR integration<\/a> surfaces those rules while the claim is being created, not after it is denied.<\/p>\n\n\n\n<h2 id=\"h-common-claim-denials-and-how-to-avoid-them\" class=\"wp-block-heading\">Common claim denials and how to avoid them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The table below maps the J2788 denial reasons that show up most often to their root cause and the fix. Read it against your own denial log before the next billing cycle.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Denial reason<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Root cause<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Resolution<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Missing or non-covered diagnosis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Diagnosis not on the CMS A56786 covered list, or coded at the wrong specificity<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Check the code against the current A56786 and use the most specific code available<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Incorrect unit count<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Units billed do not match the dose in the clinical record<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Confirm the dose in the chart before submitting, and bill one unit per 50 mcg<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">NDC not reported or invalid<\/td>\n<td style=\"padding:12px 16px;color:#374151\">NDC qualifier missing, or the NDC came from a different lot<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Record the NDC from the physical vial and use the N4 qualifier with 11 digits<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Wrong code, J2790 instead of J2788<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Code chosen from gestational age rather than the dose administered<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Verify the documented dose and match the code to the product actually given<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Prior authorization not obtained<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Commercial payer required authorization and coverage was not verified first<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Make eligibility and authorization checks a pre-administration step for commercial patients<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medical necessity not established<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Chart lacks Rh-negative status or the clinical indication narrative<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Add an immunoprophylaxis note template covering Rh status, gestational age, indication, and product<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Work your <a href=\"https:\/\/pabau.com\/blog\/electronic-remittance-advice\/\">remittance advice<\/a> weekly and group J2788 rejections by <a href=\"https:\/\/pabau.com\/blog\/denial-codes-in-medical-billing\/\">denial code<\/a>. Sorting by code rather than by date makes the pattern obvious inside a month.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Then correct and resubmit inside the payer&#8217;s <a href=\"https:\/\/pabau.com\/blog\/timely-filing-limits\/\">timely filing limits<\/a>, because a corrected claim filed late pays nothing. A monthly review with the billing team keeps the same four or five root causes from repeating.<\/p>\n\n\n\n<h2 id=\"h-how-pabau-supports-j2788-billing\" class=\"wp-block-heading\">How Pabau supports J2788 billing<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Rho(D) immune globulin is given quickly, often during a difficult appointment. The NDC, lot number, dose, and diagnosis all have to be captured before the patient leaves. On paper, or across systems that do not talk to each other, that rarely happens in one pass.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau connects the clinical record straight to the billing workflow. Its <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a> maps HCPCS codes, J2788 included, to treatment records. The coder sees the product, dose, and diagnosis in one view while building the claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">Patient record management<\/a> holds Rh status, prior administration history, and gestational age in the same chart. Billers get their supporting documentation without hunting through separate systems, which is what removes the re-entry behind unit errors and missing NDC fields.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-j2788\/automate-claims-through-healthcode.webp\" alt=\"Pabau checkout screen alongside a completed insurer invoice\"\/><figcaption class=\"wp-element-caption\"><em>Pabau builds the insurer invoice at checkout, so every drug line leaves the practice with its dose and code attached.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/blog\/medical-practice-scheduling-software\/\">Practice scheduling software<\/a> ties into the same record, so a J2788 encounter is flagged for billing review the moment the appointment closes. Nothing sits in a stack waiting to be worked.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Streamline J2788 and HCPCS billing in one place                <\/h3>\n\n                <p class=\"description\">\n                    Pabau maps HCPCS codes to patient records and captures NDC numbers at the point of care. Your team submits J2788 claims with the dose, diagnosis, and product already attached.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">J2788 is a small code with tight requirements. Get the dose, the diagnosis, and the NDC right at the point of care and the claim pays on first submission.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practices that stop chasing these denials are the ones capturing billing data during the encounter, rather than reconstructing it days later. That is a workflow decision more than a coding one. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau keeps J2788 documentation and claim submission in one place.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Want the whole billing cycle mapped out?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/what-is-revenue-cycle-management\/\">Revenue cycle management<\/a> walks through every stage between the appointment and the payment landing.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Denials piling up faster than you can work them?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/denial-management-in-healthcare\/\">Denial management in healthcare<\/a> sets out a triage process for reworking and appealing claims.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Not sure what your clearinghouse should be doing?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/medical-claims-clearinghouse\/\">Medical claims clearinghouse<\/a> explains scrubbing, submission, and the rejections to catch before the payer does.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Adding a provider who needs to bill drug codes?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/how-to-get-credentialed-with-insurance-companies\/\">Getting credentialed with insurers<\/a> covers the paperwork and the timelines to plan around.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Want a benchmark for first-pass payment?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/clean-claim\/\">Clean claim<\/a> defines what payers accept without edits and how to measure your own rate.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786974433468\"><h3 class=\"schema-faq-question\">What is HCPCS Code J2788 used for?<\/h3> <p class=\"schema-faq-answer\">HCPCS Code J2788 bills the administration of Rho(D) immune globulin, human, minidose, 50 micrograms (250 IU), given intramuscularly. It applies to Rh-negative patients after a first-trimester obstetric event such as threatened abortion, miscarriage, ectopic pregnancy, or elective termination. It covers the minidose formulation only. The full-dose 300 mcg version is billed under J2790.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786974433469\"><h3 class=\"schema-faq-question\">What is the difference between J2788 and J2790?<\/h3> <p class=\"schema-faq-answer\">J2788 covers the 50 mcg minidose of Rho(D) immune globulin, used for first-trimester events before roughly 12 weeks gestation. J2790 covers the 300 mcg full dose, used for antepartum prophylaxis at 28 weeks, postpartum administration, and later-trimester events. The code follows the dose actually administered, not the gestational age on its own.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786974433470\"><h3 class=\"schema-faq-question\">What ICD-10 codes are used with J2788?<\/h3> <p class=\"schema-faq-answer\">The codes paired most often are O36.0110 for maternal care for anti-D antibodies in the first trimester and O03.9 for spontaneous abortion without complication. O20.0 covers threatened abortion, O04.9 covers complications after elective termination, and O08.9 covers complications after ectopic pregnancy. Cross-reference the current CMS Local Coverage Article A56786 for the authoritative covered list.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786974433471\"><h3 class=\"schema-faq-question\">How many units should be billed with J2788?<\/h3> <p class=\"schema-faq-answer\">Bill one unit of J2788 for each 50 mcg dose administered. Most first-trimester indications need a single minidose vial, so the claim line usually reads J2788 with one unit. If two vials of the 50 mcg product were given, bill two units and make sure the chart documents the dose.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786974433472\"><h3 class=\"schema-faq-question\">What is the Medicare reimbursement rate for J2788?<\/h3> <p class=\"schema-faq-answer\">Medicare reimburses J2788 at ASP+6% for physician-administered buy-and-bill claims. The dollar amount changes quarterly as CMS updates the Average Sales Price files. Price the claim from the current quarter&#8217;s CMS ASP drug pricing file at cms.gov rather than any static published figure.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786974433473\"><h3 class=\"schema-faq-question\">Can J2788 be billed in a hospital outpatient setting?<\/h3> <p class=\"schema-faq-answer\">Yes. In hospital outpatient departments, reimbursement follows OPPS rules rather than the ASP+6% methodology used in physician offices. Under OPPS, J2788 may be packaged into an APC payment instead of being paid as a separate line item. Whether that happens depends on the APC grouping for the encounter.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786974433474\"><h3 class=\"schema-faq-question\">Which brand names map to HCPCS Code J2788?<\/h3> <p class=\"schema-faq-answer\">Two 50 mcg minidose products map to J2788. They are HyperRHO S\/D Mini-Dose from Grifols and MICRhoGAM Ultra-Filtered PLUS, labeled by Kedrion Biopharma. Record the exact brand and lot number from the vial, because the NDC has to match the product administered.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>HCPCS Code J2788 is the billable code for an injection of Rho(D) immune globulin, human, minidose, 50 micrograms (250 IU), given intramuscularly. It applies to Rh-negative patients who need Rh immunoprophylaxis after a first-trimester obstetric event. Three things decide whether a J2788 claim pays on first submission: The full 300 mcg dose is billed under [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":183245,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"84","_yoast_wpseo_content_score":"60","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1548,1120],"tags":[2387,1543,1582,2953,1625,1163,2508,1236],"class_list":["post-183246","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-hcpcs","category-ivf-gynecology","tag-claim-denials","tag-clinical-documentation","tag-hcpcs","tag-j-code-billing","tag-j-codes","tag-medical-billing","tag-medical-coding","tag-medicare-reimbursement"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>HCPCS Code J2788: Units, ICD-10 codes, and Medicare rates<\/title>\n<meta name=\"description\" content=\"J2788 covers Rho(D) immune globulin minidose, 50 mcg. 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Bill one unit per dose, report the NDC, and Medicare pays ASP+6%.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-18T08:07:34+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-18T08:07:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j2788.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Anja Dodevska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Geschreven door\" \/>\n\t<meta name=\"twitter:data1\" content=\"Anja Dodevska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Geschatte leestijd\" \/>\n\t<meta name=\"twitter:data2\" content=\"12 minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/\"},\"author\":{\"name\":\"Anja Dodevska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#\\\/schema\\\/person\\\/f2e43b25ed02313e8781f0f4507398b9\"},\"headline\":\"HCPCS Code J2788: Rho D immune globulin minidose billing guide\",\"datePublished\":\"2026-08-18T08:07:34+00:00\",\"dateModified\":\"2026-08-18T08:07:36+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/\"},\"wordCount\":2563,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-j2788.webp\",\"keywords\":[\"Claim denials\",\"Clinical Documentation\",\"Hcpcs\",\"J Code Billing\",\"J Codes\",\"Medical Billing\",\"Medical Coding\",\"Medicare reimbursement\"],\"articleSection\":[\"Billing Codes\",\"HCPCS\",\"IVF &amp; Gynecology\"],\"inLanguage\":\"nl-NL\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/\",\"name\":\"HCPCS Code J2788: Units, ICD-10 codes, and Medicare rates\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-j2788.webp\",\"datePublished\":\"2026-08-18T08:07:34+00:00\",\"dateModified\":\"2026-08-18T08:07:36+00:00\",\"description\":\"J2788 covers Rho(D) immune globulin minidose, 50 mcg. 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The code follows the dose actually administered, not the gestational age on its own.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#faq-question-1786974433470\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#faq-question-1786974433470\",\"name\":\"What ICD-10 codes are used with J2788?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The codes paired most often are O36.0110 for maternal care for anti-D antibodies in the first trimester and O03.9 for spontaneous abortion without complication. O20.0 covers threatened abortion, O04.9 covers complications after elective termination, and O08.9 covers complications after ectopic pregnancy. Cross-reference the current CMS Local Coverage Article A56786 for the authoritative covered list.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#faq-question-1786974433471\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#faq-question-1786974433471\",\"name\":\"How many units should be billed with J2788?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Bill one unit of J2788 for each 50 mcg dose administered. Most first-trimester indications need a single minidose vial, so the claim line usually reads J2788 with one unit. If two vials of the 50 mcg product were given, bill two units and make sure the chart documents the dose.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#faq-question-1786974433472\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#faq-question-1786974433472\",\"name\":\"What is the Medicare reimbursement rate for J2788?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Medicare reimburses J2788 at ASP+6% for physician-administered buy-and-bill claims. The dollar amount changes quarterly as CMS updates the Average Sales Price files. Price the claim from the current quarter's CMS ASP drug pricing file at cms.gov rather than any static published figure.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#faq-question-1786974433473\",\"position\":6,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#faq-question-1786974433473\",\"name\":\"Can J2788 be billed in a hospital outpatient setting?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. In hospital outpatient departments, reimbursement follows OPPS rules rather than the ASP+6% methodology used in physician offices. Under OPPS, J2788 may be packaged into an APC payment instead of being paid as a separate line item. Whether that happens depends on the APC grouping for the encounter.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#faq-question-1786974433474\",\"position\":7,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-j2788\\\/#faq-question-1786974433474\",\"name\":\"Which brand names map to HCPCS Code J2788?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Two 50 mcg minidose products map to J2788. They are HyperRHO S\\\/D Mini-Dose from Grifols and MICRhoGAM Ultra-Filtered PLUS, labeled by Kedrion Biopharma. 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The full-dose 300 mcg version is billed under J2790.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/#faq-question-1786974433469","position":2,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/#faq-question-1786974433469","name":"What is the difference between J2788 and J2790?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"J2788 covers the 50 mcg minidose of Rho(D) immune globulin, used for first-trimester events before roughly 12 weeks gestation. J2790 covers the 300 mcg full dose, used for antepartum prophylaxis at 28 weeks, postpartum administration, and later-trimester events. The code follows the dose actually administered, not the gestational age on its own.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/#faq-question-1786974433470","position":3,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/#faq-question-1786974433470","name":"What ICD-10 codes are used with J2788?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The codes paired most often are O36.0110 for maternal care for anti-D antibodies in the first trimester and O03.9 for spontaneous abortion without complication. O20.0 covers threatened abortion, O04.9 covers complications after elective termination, and O08.9 covers complications after ectopic pregnancy. Cross-reference the current CMS Local Coverage Article A56786 for the authoritative covered list.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/#faq-question-1786974433471","position":4,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/#faq-question-1786974433471","name":"How many units should be billed with J2788?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Bill one unit of J2788 for each 50 mcg dose administered. Most first-trimester indications need a single minidose vial, so the claim line usually reads J2788 with one unit. If two vials of the 50 mcg product were given, bill two units and make sure the chart documents the dose.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/#faq-question-1786974433472","position":5,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/#faq-question-1786974433472","name":"What is the Medicare reimbursement rate for J2788?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Medicare reimburses J2788 at ASP+6% for physician-administered buy-and-bill claims. The dollar amount changes quarterly as CMS updates the Average Sales Price files. Price the claim from the current quarter's CMS ASP drug pricing file at cms.gov rather than any static published figure.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/#faq-question-1786974433473","position":6,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/#faq-question-1786974433473","name":"Can J2788 be billed in a hospital outpatient setting?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. In hospital outpatient departments, reimbursement follows OPPS rules rather than the ASP+6% methodology used in physician offices. Under OPPS, J2788 may be packaged into an APC payment instead of being paid as a separate line item. Whether that happens depends on the APC grouping for the encounter.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/#faq-question-1786974433474","position":7,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-j2788\/#faq-question-1786974433474","name":"Which brand names map to HCPCS Code J2788?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Two 50 mcg minidose products map to J2788. They are HyperRHO S\/D Mini-Dose from Grifols and MICRhoGAM Ultra-Filtered PLUS, labeled by Kedrion Biopharma. Record the exact brand and lot number from the vial, because the NDC has to match the product administered.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"}]}},"yoast":{"focus_keyword":"HCPCS Code J2788","seo_title":"HCPCS Code J2788: Units, ICD-10 codes, and Medicare rates","meta_description":"J2788 covers Rho(D) immune globulin minidose, 50 mcg. Bill one unit per dose, report the NDC, and Medicare pays ASP+6%.","content_score":"60","is_cornerstone":"","related_keyphrases":[{"keyword":"rho d immune globulin billing","score":56},{"keyword":"J2790 HCPCS code","score":61},{"keyword":"average sales price Medicare Part B","score":61},{"keyword":"OB GYN billing codes","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts\/183246","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/users\/83"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/comments?post=183246"}],"version-history":[{"count":3,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts\/183246\/revisions"}],"predecessor-version":[{"id":183453,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts\/183246\/revisions\/183453"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/media\/183245"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/media?parent=183246"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/categories?post=183246"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/tags?post=183246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}