J2790 HCPCS code: Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)
J2790 is the HCPCS Level II code for injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.). In 2024 Medicare paid an average of $53.98 per service for J2790 across 147 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 3 per day on outpatient hospital claims. Medicare volume fell 37% from 2022 to 2024 (232 to 147 services). In 2024, about 147 clinicians billed Medicare for J2790 for 145 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | J codes — Drugs administered other than oral method |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 1986-01-01 |
| Last action effective | 2014-01-01 |
Who bills J2790 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 147 |
| Medicare beneficiaries | 145 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for J2790, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 232 | 220 | $77.52 | $56.10 |
| 2023 | 182 | 173 | $75.62 | $52.88 |
| 2024 | 147 | 145 | $76.70 | $53.98 |
States with the most J2790 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Pennsylvania | 11 | $61.75 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 3 | Clinical: Data |
| practitioner claims | 1 | Clinical: Data |
Medicare policy articles for this code
- A57160: Billing and Coding: Immune Thrombocytopenia (ITP) Therapy (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
Covered diagnoses (1 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| D69.3 | Immune thrombocytopenic purpura | 1 |
What changed for J2790
- 1986-01-01: J2790 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code J2790?
J2790 is the HCPCS Level II code for injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.). Short descriptor: "Rho d immune globulin inj".
How much does Medicare pay for J2790?
In 2024, the average Medicare payment was $53.98 per service (average allowed $76.70).
Does Medicare cover J2790?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for J2790?
Medicare policy articles that cite J2790 list 1 covered ICD-10-CM diagnosis codes across 1 article. The most cited include D69.3 (Immune thrombocytopenic purpura). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
How many units of J2790 can be billed per day?
3 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related J27 codes
- J2700 — Injection, oxacillin sodium, up to 250 mg
- J2704 — Injection, propofol, 10 mg
- J2710 — Injection, neostigmine methylsulfate, up to 0.5 mg
- J2720 — Injection, protamine sulfate, per 10 mg
- J2724 — Injection, protein c concentrate, intravenous, human, 10 iu
- J2725 — Injection, protirelin, per 250 mcg
- J2730 — Injection, pralidoxime chloride, up to 1 gm
- J2760 — Injection, phentolamine mesylate, up to 5 mg
- J2765 — Injection, metoclopramide hcl, up to 10 mg
- J2770 — Injection, quinupristin/dalfopristin, 500 mg (150/350)
- J2777 — Injection, faricimab-svoa, 0.1 mg
- J2778 — Injection, ranibizumab, 0.1 mg
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Next steps
- Run a reimbursement report for a device billed under J2790
- Watch J2790 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2790
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.