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    HCPCS Details

    HCPC J1576
    Short Description Inj, panzyga, 500 mg
    Long Description Injection, immune globulin (panzyga), 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 2023-07-01
    Date Added 2023-07-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00069110902 J1576 Inj, panzyga, 500 mg PANZYGA PFIZER INC. 500 MG 25 1 5 5
    00069122402 J1576 Inj, panzyga, 500 mg PANZYGA PFIZER INC. 500 MG 50 1 10 10
    00069131202 J1576 Inj, panzyga, 500 mg PANZYGA PFIZER INC. 500 MG 100 1 20 20
    00069141502 J1576 Inj, panzyga, 500 mg PANZYGA PFIZER INC. 500 MG 200 1 40 40
    00069155802 J1576 Inj, panzyga, 500 mg PANZYGA PFIZER INC. 500 MG 300 1 60 60
    68982082202 J1576 Inj, panzyga, 500 mg PANZYGA OCTAPHARMA 500 MG 25 1 5 5
    68982082203 J1576 Inj, panzyga, 500 mg PANZYGA OCTAPHARMA 500 MG 50 1 10 10
    68982082204 J1576 Inj, panzyga, 500 mg PANZYGA OCTAPHARMA 500 MG 100 1 20 20
    68982082205 J1576 Inj, panzyga, 500 mg PANZYGA OCTAPHARMA 500 MG 200 1 40 40
    68982082206 J1576 Inj, panzyga, 500 mg PANZYGA 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