GAMMAGARD LIQUID Billing Codes
- HCPCS codes
- CPT® codes
- NDC numbers
Your quick guide for codes
Takeda is committed to serving health systems, physicians, and their patients who rely on GAMMAGARD LIQUID. Please find a convenient reference guide for the information you need to bill payers for GAMMAGARD LIQUID below.
Injection, immune globulin (GAMMAGARD LIQUID), intravenous, non-lyophilized (eg, liquid), 500 mg
aThe HCPCS code currently assigned to GAMMAGARD LIQUID, J1569, only describes the intravenous (IV) route of administration. Providers are advised to contact the payer for the appropriate HCPCS code when GAMMAGARD LIQUID is administered subcutaneously (SCIG).
bMedicare DME MAC coding guidance for GAMMAGARD LIQUID with the subcutaneous route of administration via a pump.
Home Infusion Therapy (for IVIG or SCIG)
Home infusion therapy, immunotherapy, administration services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
Healthcare providers should contact payers for guidance on appropriate coding.
|96365||IV infusion for therapy, prophylaxis, or diagnosis; initial, up to 1 hour|
|IV infusion for therapy, prophylaxis, or diagnosis; each additional hour (List separately in addition to code for primary procedure)|
|IV infusion for therapy, prophylaxis, or diagnosis; additional sequential infusion, up to 1 hour (List separately in addition to code for primary procedure)|
|IV infusion for therapy, prophylaxis, or diagnosis; concurrent infusion (List separately in addition to code for primary procedure)|
Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to one hour, including pump set-up and establishment of subcutaneous infusion site(s)
Excludes infusion of 15 minutes or less (96372)
Each additional hour (List separately in addition to code for primary procedure)
Includes infusions of more than 30 minutes beyond 1 hour
|96371||Additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for primary procedure)|
GAMMAGARD LIQUID is available in the following1:
|NDC number||Volume||Grams protein|
Hospital Revenue Code
|0636||Pharmacy, drugs requiring detailed coding|