HCPCS drug code · CMS crosswalk
Atgam J-Code / HCPCS Code
In short
Atgam is billed under HCPCS J7504 — Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg. One billing unit is 250 mg. CMS's crosswalk lists 1 Atgam NDC under this code.
Reference
- J7504
- Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mgBilling unit: 250 mg
- Labelers
- Pfizer Inc
Medicare Part B payment limit
CMS ASP fileEffective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Atgam units and claim line
Enter the dose given to get the J7504 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Atgam NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 00009-7224-02 | J7504 | Pfizer Inc | 5 × 5 | 5 |
Atgam: common questions
- What is the J-code for Atgam?
- Atgam is billed under HCPCS J7504 — Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg. One billing unit is 250 mg. CMS's crosswalk lists 1 Atgam NDC under this code.
- How many J7504 billing units are in a package of Atgam?
- CMS lists 5 billing units per package, depending on the NDC, where one unit is 250 mg. Units to report are based on the dose given, not the package.
- Is J7504 a CPT code?
- No. J7504 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.