This resource provides information from a complex and evolving medical coding system. The treating physician is solely responsible for diagnosis coding and determination of the appropriate ICD-9-CM codes that describe the patient’s condition and are supported by the medical record. All codes listed in this guide are for informational purposes and are not an exhaustive list. The CPT, HCPS, and ICD-9-CM codes provided are based on AMA or CMS guidelines. The billing party is solely responsible for coding of services (eg, CPT coding). Because government and other third-party payor coding requirements change periodically, please verify current coding requirements directly with the payor being billed.

Brand Name	Generic Name	NDC
Carimune® NF Nanofiltered	Immune Globulin Intravenous (Human)	44206-0416-03 44206-0417-06 44206-0418-12
Cytogam®	Cytomegalovirus immune globulin, intravenous (Human)	44206-3101-10
Helixate® FS	Antihemophilic Factor VIII (Recombinant) Formulated With Sucrose	00053-8130-01 00053-8130-02 00053-8130-04
Humate-P®	Antihemophilic Factor/von Willebrand Factor Complex (Human) Dried Pasteurized	00053-7615-05 00053-7615-10 00053-7615-20
Monoclate-P®	Antihemophilic Factor (Human) Factor VIII: C Pasteurized, Monoclonal Antibody Purified	00053-7656-04 00053-7656-05
Mononine®	Coagulation Factor IX (Human), Monoclonal Antibody Purified	00053-7668-02 00053-7668-04
Privigen®	Immune Globulin Intravenous (Human) 10% Liquid	44206-0436-05 44206-0437-10 44206-0438-20
Rhophylac®	Rho(D)Immune Globulin Intravenous (Human), For intravenous or intramuscular injection	44206-0300-01 44206-0300-10
Stimate®	(desmopressin acetate) Nasal Spray, 1.5 mg/mL	00053-2453-00
Vivaglobin®	Immune globulin, subcutaneous, (Human)	00053-7596-03 00053-7596-10 00053-7596-15 00053-7596-20 00053-7596-25
Zemaira®	Alpha1–Proteinase Inhibitor (Human)	00053-7201-02

Brand Name	HCPCS Code	ICD-9 Code	CPT Code
Carimune NF® Nanofiltered	J-1566 Appropriate HCPCS code should be verified with insurer.	279.00 279.01 279.02 279.03 279.04 279.12 279.2 279.06	90765 90766 G0332
Cytogam®	J-0850 Appropriate HCPCS code should be verified with insurer	078.5 with 996.81 996.82 996.83 996.84 996.86	90765 90766
Helixate® FS	J-7192 Appropriate HCPCS code should be verified with insurer	286.0	90765 90766 90774
Humate-P®	J-7187 Appropriate HCPCS code should be verified with insurer	286.0 286.4	90765 90766 90774
Monoclate-P®	J-7190 Appropriate HCPCS code should be verified with insurer	286.0	90765 90766 90774
Mononine®	J-7193 Appropriate HCPCS code should be verified with insurer	286.1	90765 90766 90774
Privigen®	Q-4097 - effective 4/1/08 Appropriate HCPCS code should be verified with insurer; include drug NDC number	279.00 279.01 279.02 279.03 279.04 279.12 279.2 279.06	90765 90766
Rhophlyac®	J-2791 Appropriate HCPCS code should be verified with insurer	287.31 656.0 656.1 656.2 V07.2	90774 90772 90765 90766
Stimate®	J-3490 Appropriate HCPCS code should be verified with insurer	286.0 (mild to moderate) 286.4 (Type I)	99080
Vivaglobin®	J-1562 Appropriate HCPCS code should be verified with insurer	279.00 279.01 279.02 279.03 279.04 279.12 279.2 279.06	90769 90770 90771 New CPT Codes effective 1/1/2008. Appropriate CPT code should be verified with insurer
Zemaira®	J-0256 Appropriate HCPCS code should be verified with insurer	273.4	90765 90766

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