Reimbursement and coding
CSL Behring is dedicated to making BERINERT available to patients and healthcare professionals when and where it is needed. BERINERT is available through a range of national and regional specialty pharmacies and distributors.
For contact information for these organizations, please call BERINERT ConnectSM at 1-877-236-4HAE (1-877-236-4423).
HCPCS Code/Description7 (Healthcare Common Procedural Coding System) |
|
|---|---|
| J0597 | Injection, C1 Esterase Inhibitor (Human), BERINERT, 10 units |
ICD-10-CM Diagnosis Code8 (Identifies the medical condition of the patient) |
|
| Primary code:D84.1 | C1 esterase inhibitor [C1-INH] deficiency |
| CPT® codes9:96374 | Intravenous push, single, or initial substance/drug |
| 96376 | Each additional sequential intravenous push of the same substance/drug provided in a facility (list separately in addition to code for primary procedure) |
BERINERT NDC Numbers |
||
|---|---|---|
| Product kit | NDC number from package insert | NDC number to use on claim forms |
Carbon contains:
|
63833-825-02 | 63833-0825-02 |
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-10-CM codes that describe the patient's conditions 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, HCPCS, and ICD-10-CM codes are provided based on AMA or CMS guidelines. The billing party is solely responsible for coding of service (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.