HCPCS Code Details - J1577

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J1577
Description

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

Short description:
Inj, qivigy, 100mg

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 Jul 01, 2026 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1E - Other drugs
HCPCS Action code A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jul 01, 2026
Date added Added Jul 01, 2026
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

See also

  • HCPCS J1576 · Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg

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

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

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

  • HCPCS J1552 · Injection, immune globulin (alyglo), 500 mg

  • HCPCS J1553 · Injection, immune globulin (yimmugo), 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 J1580 · Injection, garamycin, gentamicin, up to 80 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”