HCPCS code J1572 — Flebogamma injection.
Status: Active.
Effective Jan 1, 2009.
Source: CMS HCPCS Level II.
J1572
ActiveFlebogamma injection
Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2009
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
0947
Drug class:
IVIG (Intravenous Immune Globulin)
MUE — Medically Unlikely Edits
Maximum units of J1572 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 | 180 |
| Outpatient Hospital | 180 |
| Practitioner Services | 180 |
Source: CMS Medicare NCCI Medically Unlikely Edits