Appendix C. Applicable Codes for Target Population of Medicare Beneficiaries with PIDD

Appendix C. Applicable Codes for Target Population of Medicare
Beneficiaries with PIDD
Table C-1 provides the applicable claims codes for the target population, Medicare beneficiaries
with PIDD who are receiving IVIG or SCIG.
Table C-1: Applicable Codes for Target Population of Medicare Beneficiaries with PIDD
IVIG
ICD 9
HCPCS
Demonstration
Point of Service Codes
Codes
Codes
Code
279.06
J1459
Q2052
01 Pharmacy
279.02
J1569
71
04 Homeless Shelter
279.12
J1557
11 Office
279.04
J1561
12 Home
279.05
J1599
13 Assisted Living Facility
J1572
14 Group Home
J1568
16 Temporary Lodging
J1556
21 Inpatient Hospital
J1566
22 Outpatient Hospital
J2791
32 Nursing Facility
33 Custodial Care Facility
49 Independent Clinic
54 Intermediate Care Facility/Mentally Retarded
55 Residential Substance Abuse Treatment Facility
56 Psychiatric Residential Treatment Center
71 Public Health Clinic
72 Rural Health Clinic

C-1