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February 2002 · Vol. 14, No. 2

REIMBURSEMENT ADVISER

RhoGAM injections: payment levels vary among insurers

Q

Physicians often send their patients to our hospital for RhoGAM shots. Why is this happening, and what is the best way to code for this service?

A

First, many Ob/Gyns opt not to perform RhoGAM injections in their offices because of exceedingly poor reimbursement from third-party payers. Second, there was a shortage of the product in 1995 and early 1996. In many cases, RhoGAM was available only through local hospitals, so a shift in the site of service took place.

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