Year:  2017 2018 2019 2020 2021 2022 2023 2024 

QPP Measure #255

Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure

Percentage of Rh-negative pregnant women aged 14-50 years at risk of fetal blood exposure who receive Rh- Immunoglobulin (Rhogam) in the emergency department (ED)

Submission Methods: Claims, Registry
Measure Sets: Emergency Medicine

The following codes apply for this QPP measure:

CPT Codes

CodeDescription
99281CPT Code
99282CPT Code
99283CPT Code
99284CPT Code
99285CPT Code
99291CPT Code

HCPCS Codes

CodeDescription
G8809Rh-immunoglobulin (rhogam) ordered
G8810Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal)
G8811Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given

ICD10CM Codes

CodeDescription
O36.0110Maternal care for anti-D [Rh] antibodies, first trimester, not applicable or unspecified
O36.0111Maternal care for anti-D [Rh] antibodies, first trimester, fetus 1
O36.0190Maternal care for anti-D [Rh] antibodies, unspecified trimester, not applicable or unspecified
O36.0191Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 1
O36.0910Maternal care for other rhesus isoimmunization, first trimester, not applicable or unspecified
O36.0911Maternal care for other rhesus isoimmunization, first trimester, fetus 1
O36.0990Maternal care for other rhesus isoimmunization, unspecified trimester, not applicable or unspecified
O36.0991Maternal care for other rhesus isoimmunization, unspecified trimester, fetus 1
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