What is the CPT code for Synagis?
90378
– Billing on the medical benefit requires submission of a claim form using CPT code 90378 for Synagis®, with required NDC and billing units incremental to each 50 mg dose administered (i.e. 100 mg = 2 billing units).
What is the criteria for Synagis?
SYNAGIS gives babies who are born prematurely (at or before 35 weeks, and who are 6 months of age or less at the beginning of RSV season) the infection-fighting antibodies they lack, helping protect their vulnerable lungs from RSV.
What bronchodilator is used for RSV?
In a small percentage of children who have wheezing with RSV, a breathing treatment with albuterol may help to provide short-term relief of symptoms (NOTE: albuterol does not affect the RSV virus that is causing the symptoms, only some of the symptoms caused by it).
What are the ingredients in Synagis?
Upon reconstitution, Synagis® (palivizumab) contains the following excipients: 47 mM histidine, 3.0 mM glycine and 5.6% mannitol and the active ingredient, palivizumab, at a concentration of 100 milligrams per mL solution. The reconstituted solution should appear clear or slightly opalescent.
How do you bill for Synagis injection?
Administration charges for the injection should be billed directly to Coordinated Care on a (HCFA) CMS 1500 claim form using CPT code 96372 (Administration) and CPT code 90378 (Medicine). You can also bill for an appropriate office visit for each administration of the drug.
What is the NDC for Synagis?
Synagis (palivizumab), a monoclonal antibody, is used as a prophylaxis to reduce lower respiratory tract disease caused by RSV (respiratory syncytial virus) in premature, high-risk infants and children….Professional Claim Submission.
| Procedure Code | NDC | NDC Description |
|---|---|---|
| 90378 | XXXXX-XXXX-02 | Synagis—50 mg |
Who qualifies for RSV vaccine?
Infants born at 32-35 weeks’ gestational age who are younger than 3 months chronologic age at the start of or during the RSV season and who either (a) attend child care or (2) have 1 or more siblings or other children younger than 5 years living permanently in the same household; prophylaxis should be provided only …
Who is eligible for RSV vaccine?
Very young infants, especially those 6 months and younger. Children younger than 2 years old with chronic lung disease or congenital heart disease. Children with suppressed immune systems. Children who have neuromuscular disorders, including those who have difficulty swallowing or clearing mucus secretions.
Does nebulizer help RSV?
Treating RSV Your provider may try a breathing treatment with albuterol to assess whether the medication helps your child breathe better. This involves using a machine called a nebulizer to get the albuterol into the lungs. Usually, RSV will get better on its own without antibiotics.
Does nebulizer help bronchiolitis?
Because bronchiolitis is usually caused by a virus, drug treatment is usually not effective. Hypertonic saline (sterile salt water solution) breathed in as a fine mist using a nebuliser may help relieve wheezing and breathing difficulty.
Is RSV shot FDA approved?
Pfizer Granted FDA Breakthrough Therapy Designation for Respiratory Syncytial Virus (RSV) Vaccine Candidate for the Prevention of RSV in Infants from Birth up to Six Months of Age by Active Immunization of Pregnant Women. NEW YORK–(BUSINESS WIRE)– Pfizer Inc.