J2792 HCPCS code: Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu
J2792 is the HCPCS Level II code for injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu. 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 450 per day on outpatient hospital claims.
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 | 1999-01-01 |
| Last action effective | 1999-01-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 450 | Prescribing Information |
| practitioner claims | 450 | Prescribing Information |
Medicare policy articles for this code
- A56718: Billing and Coding: Intravenous Immunoglobulin (IVIG) (Palmetto GBA (MAC - Part A, MAC - Part B))
- A57160: Billing and Coding: Immune Thrombocytopenia (ITP) Therapy (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
Covered diagnoses (212 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 | 2 |
| A85.8 | Other specified viral encephalitis | 1 |
| B08.3 | Erythema infectiosum [fifth disease] | 1 |
| B20 | Human immunodeficiency virus [HIV] disease | 1 |
| B25.0 | Cytomegaloviral pneumonitis | 1 |
| B25.1 | Cytomegaloviral hepatitis | 1 |
| B25.2 | Cytomegaloviral pancreatitis | 1 |
| B25.8 | Other cytomegaloviral diseases | 1 |
| B25.9 | Cytomegaloviral disease, unspecified | 1 |
| C88.00 | Waldenstrom macroglobulinemia not having achieved remission | 1 |
Showing 10 of 212. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for J2792
- 1999-01-01: J2792 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 J2792?
J2792 is the HCPCS Level II code for injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu. Short descriptor: "Rho(d) immune globulin h, sd".
Does Medicare cover J2792?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for J2792?
Medicare policy articles that cite J2792 list 212 covered ICD-10-CM diagnosis codes across 2 articles. The most cited include D69.3 (Immune thrombocytopenic purpura), A85.8 (Other specified viral encephalitis), B08.3 (Erythema infectiosum [fifth disease]). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
How many units of J2792 can be billed per day?
450 on outpatient hospital claims; 450 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
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under J2792
- Watch J2792 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J2792
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.