HCPCS Code Details - J1555

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J1555
Description

Long description:
Injection, immune globulin (cuvitru), 100 mg

Short description:
Inj cuvitru, 100 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, 2018 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code D1G - Drugs Administered through DME
HCPCS Action code A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2018
Date added Added Jan 01, 2018
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 - J1555

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
October 1, 2018 - December 31, 2018 100 MG 13.397 - - - - - -
July 1, 2018 - September 30, 2018 100 MG 13.501 - - - - - -
April 1, 2018 - June 30, 2018 100 MG 13.525 - - - - - -
January 1, 2018 - March 31, 2018 100 MG 13.789 - - - - - - 1

See also

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

  • HCPCS J1459 · Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg

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

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


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”