HCPCS Code Details - J1459

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J1459
Description

Long description:
Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg

Short description:
Inj ivig privigen 500 mg

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
ASC payment group code Effective Jan 01, 2009 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2009
Date added Added Jan 01, 2009
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - J1459

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
500 MG 47.858 - - - - - -
January 1, 2024 - March 31, 2024 500 MG 48.29 - - - - - -
October 1, 2023 - December 31, 2023 500 MG 47.589 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 500 MG 47.992 20% - - - - -
April 1, 2023 - June 30, 2023 500 MG 47.191 20% - - - - -

See also

  • HCPCS J1458 · Injection, galsulfase, 1 mg

  • HCPCS C9072 · Injection, immune globulin (asceniv), 500 mg

  • HCPCS J1551 · Injection, immune globulin (cutaquig), 100 mg

  • HCPCS J1554 · Injection, immune globulin (asceniv), 500 mg

  • HCPCS J1555 · Injection, immune globulin (cuvitru), 100 mg

  • HCPCS J1556 · Injection, immune globulin (bivigam), 500 mg

  • HCPCS J1557 · Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg

  • HCPCS J1558 · Injection, immune globulin (xembify), 100 mg

  • HCPCS J1559 · Injection, immune globulin (hizentra), 100 mg

  • HCPCS J1561 · Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg

  • HCPCS J1562 · Injection, immune globulin (vivaglobin), 100 mg

  • HCPCS J1566 · Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

  • HCPCS J1568 · Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg

  • HCPCS J1569 · Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg

  • HCPCS J1572 · Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg

  • HCPCS J1575 · Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin

  • HCPCS J1460 · Injection, gamma globulin, intramuscular, 1 cc


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”