HCPCS code J1568 — Octagam injection.
Status: Active.
Effective Jan 1, 2008.
Source: CMS HCPCS Level II.
J1568
ActiveOctagam injection
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 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:
0943
Drug class:
IVIG (Intravenous Immune Globulin)
MUE — Medically Unlikely Edits
Maximum units of J1568 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 |
|---|---|
| 00069-6002-02 | Octagam |
| 00069-6111-02 | Octagam |
| 00069-6237-02 | Octagam |
| 00069-6339-02 | Octagam |
| 00069-6550-02 | Octagam |
| 00069-8400-02 | Octagam |
| 00069-8425-02 | Octagam |
| 00069-8451-02 | Octagam |
| 00069-8476-02 | Octagam |
| 68982-0840-01 | Octagam |
| 68982-0840-02 | Octagam |
| 68982-0840-03 | Octagam |
| 68982-0840-04 | Octagam |
| 68982-0850-01 | Octagam |
| 68982-0850-02 | Octagam |
| 68982-0850-03 | Octagam |
| 68982-0850-04 | Octagam |
| 68982-0850-05 | Octagam |