HCPCS code J1561 — Gamunex-c/gammaked. Status: Active. Effective Jan 1, 2013. Source: CMS HCPCS Level II.

J1561

Active

Gamunex-c/gammaked

Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2013
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 0948
Drug class: IVIG (Intravenous Immune Globulin)

MUE — Medically Unlikely Edits

Maximum units of J1561 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 360
Outpatient Hospital 360
Practitioner Services 360

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
13533-0800-12 Gamunex-C
13533-0800-15 Gamunex-C
13533-0800-20 Gamunex-C
13533-0800-24 Gamunex-C
13533-0800-40 Gamunex-C
13533-0800-71 Gamunex-C
76125-0900-10 Gammaked
76125-0900-20 Gammaked
76125-0900-50 Gammaked