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HCPCS Details
| HCPC | J1572 |
| Short Description | Flebogamma injection |
| Long Description | Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg |
| Pricing indicator | 51 |
| Coverage code | D |
| ASC payment group code | YY |
| BETOS2 code | O1E |
| Action code | N |
| Type of service | 1 |
| Effective date | 2009-01-01 |
| Date Added | 2008-01-01 |