HCPCS code J1566 — Immune globulin, powder.
Status: Active.
Effective Jan 1, 2008.
Source: CMS HCPCS Level II.
J1566
ActiveImmune globulin, powder
Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2008
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
2731
Drug class:
IVIG (Intravenous Immune Globulin)
MUE — Medically Unlikely Edits
Maximum units of J1566 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 | 300 |
| Outpatient Hospital | 300 |
| Practitioner Services | 300 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00944-2656-03 | Gammagard S/D |
| 00944-2658-04 | Gammagard S/D |