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    HCPCS Details

    HCPC J1568
    Short Description Octagam injection
    Long Description Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg
    Pricing indicator 51
    Coverage code C
    ASC payment group code YY
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2008-01-01
    Date Added 2008-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    68982084001 J1568 Octagam injection Octagam OCTAPHARMA 500 MG 20 1 2 2
    68982084002 J1568 Octagam injection Octagam OCTAPHARMA 500 MG 50 1 5 5
    68982084003 J1568 Octagam injection Octagam OCTAPHARMA 500 MG 100 1 10 10
    68982084004 J1568 Octagam injection Octagam OCTAPHARMA 500 MG 200 1 20 20
    68982085001 J1568 Octagam injection Octagam OCTAPHARMA 500 MG 20 1 4 4
    68982085002 J1568 Octagam injection Octagam OCTAPHARMA 500 MG 50 1 10 10
    68982085003 J1568 Octagam injection Octagam OCTAPHARMA 500 MG 100 1 20 20
    68982085004 J1568 Octagam injection Octagam OCTAPHARMA 500 MG 200 1 40 40
    68982085005 J1568 Octagam injection Octagam OCTAPHARMA 500 MG 300 1 60 60
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 500 MG
    HCPCS/CPT Billing Units 0.002
    Total doses ordered
    Billing Units 0.002