HCPCS J1559

HCPCS Code: J1559

The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J1559 identifies the type of service or supply used while any of the 7 NDC codes below could be used to specify the exact drug used.

Short Description

Hizentra injection

Long Description

Injection, immune globulin (hizentra), 100 mg

Pricing Indicator

Drugs

Multiple Pricing Indicator

Not applicable as HCPCS priced under one methodology

Coverage Description

Carrier judgment

BETOS Type of Service

Other drugs

Medicare Payment Limit

$14.12

Medicare Co-Insurance Percentage

19.318%

Medicare Pricing Notes

Inflation-adjusted coinsurance

HCPCS Classification

List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

The NDC codes below allow precise billing based on the specific manufacturer and medication used: