J2788
J2788 – Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i. · NDC Crosswalk & Billing Units
HCPCS Level II J-code · Medicare Part B drug billing
J-code
● 4 NDCs crosswalked per 50 MCG (250 IU) $25.542/unit ASP+6%
📋 J2788 summary
J2788 is a HCPCS Level II J-code used to bill rho d immune globulin, human, minidose, 50 micrograms (250 i.u.), billed per 50 MCG (250 IU). The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.
Brand names associated with J2788: Hyperrho Mini-Dose
Code J2788
Billing unit 50 MCG (250 IU) Payment limit $25.542/unit NDC-Crosswalk 4
Quarter Q3 2026
RxCUI Atlas Trace the drug concept →
⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.
🗂️ Key billing facts
HCPCS codeJ2788
DescriptorInjection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)
Billing unit50 MCG (250 IU)
Payment limit / unit$25.542
Est. ASP / unit$24.096 est.
Mapped NDCs4
Data periodQ3 2026
Last updated2026-08-20
🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026
📅 Payment limits effective Q3 2026 — from the CMS Medicare Part B Payment Limit File (revised quarterly).
Medicare payment limit / unit
$25.542
Est. ASP / unit
$24.096 est.
Est. after 2% sequester
$25.031
HCPCS dosage
50 MCG (250 IU)
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly), Q3 2026.
Full HCPCS code details (official CMS record)
Long descriptionInjection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)
CoverageD — Special coverage instructions apply
Pricing indicator51 — Drug — priced under the ASP methodology
Type of service1 — Medical care
BETOS-2O1E
ASC payment group—
Action codeN — No maintenance this year
Effective date2014-01-01
Date added2003-01-01
Source: CMS HCPCS Level II code file (imported via admin).
🧮 Dosing & billing-units calculator HCPCS UNITS
One billing unit of J2788 = 50 mcg. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.
🔁 NDCs that bill under J2788 WITH EST. MEDICARE PAY
4 NDCs map to J2788. Bill units = how many HCPCS units one package represents. Est. pay / pkg = payment limit ($25.542/unit) × that package's bill units.
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | Est. pay / pkg | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|---|
| 13533-0661-06 | HYPERRHO MINI-DOSE RHO(D) IMMUNE GLOBULIN (HUMAN) 250 [iU]/mL SOLUTION | GRIFOLS | 10 SYRINGE in 1 CARTON (13533-661-06) / 1... | 250 [iU]/mL | 10 | $255.42 | — | ● Active | CMS + PDAC |
| 00562-7806-01 | MICRHOGAM ULTRA-FILTERED PLUS (PF,LATEX-FREE) 50 MCG | Unknown | — | — | 1 | $25.54 | — | — | PDAC |
| 00562-7806-05 | MICRHOGAM ULTRA-FILTERED PLUS (PF,LATEX-FREE) 50 MCG | Unknown | — | — | 1 | $25.54 | — | — | PDAC |
| 00562-7806-25 | MICRHOGAM ULTRA-FILTERED PLUS (PF,LATEX-FREE) 50 MCG | Unknown | — | — | 1 | $25.54 | — | — | PDAC |
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.
📈 Medicare Part B claims detail CMS PSPS · 2024
Calendar-year 2024 Medicare Part B fee-for-service activity for this HCPCS code, summed across all carriers, localities and specialties (CMS Physician/Supplier Procedure Summary). A “service” is one billed line/unit — not one claim — so counts run higher than claim counts.
Allowed charges
—
Medicare paid
$0.00
Submitted services
—
Source: CMS Physician/Supplier Procedure Summary (PSPS), CY2024 — Medicare Part B carrier + DME fee-for-service claims (excludes Medicare Advantage). Figures are for the whole HCPCS code, which may cover uses beyond this drug. ⚠ CMS hides any figure covering fewer than 11 patients (a privacy rule), so totals — especially denials and low-volume codes — run a little low.
📊 What bills under J2788
J-codes are billing codes often used for drugs billed under the medical benefit. This connects the billing code to the NDC package records it covers, by ingredient and labeler.
NDC products by ingredient
NDC products by labeler
🗃️ Data sources & freshness
Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Loaded
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Q3 2026 · as of 2026-08-20
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
4 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Not available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
No reportable utilization
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.
⚠️ Practical billing caveats
- A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
- Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
- Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
- Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
- The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
- Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.
❓ J2788 billing FAQ
What is HCPCS code J2788?
J2788 is a HCPCS Level II J-code used to bill Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) under Medicare Part B and most medical (not pharmacy) benefits.
What is the billing unit for J2788?
One unit of J2788 represents 50 MCG (250 IU). Report the number of units equal to the dose administered divided by 50 MCG (250 IU).
How many units of J2788 should I bill?
Divide the dose administered by the code's unit size (50 MCG (250 IU)) to get the number of billing units, then round per your payer's policy. The calculator on this page converts a dose into billing units and projects a full course.
How much does Medicare pay for J2788?
The Medicare Part B payment limit is $25.542 per unit (Q3 2026), based on ASP + 6%. After the 2% sequester the effective payment is about $25.031 per unit. Payment limits are revised quarterly.
Which NDCs bill under J2788?
4 NDCs currently map to J2788 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean J2788 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.