In short

Digifab is billed under HCPCS J1162 — Injection, digoxin immune fab (ovine), per vial. One billing unit is per vial. CMS's crosswalk lists 2 Digifab NDCs under this code.

J1162 code details

Reference

J1162
Injection, digoxin immune fab (ovine), per vialBilling unit: per vial
Labelers
BTG International Inc.; Salvagenix, Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$5,711.373
Perper vial
Coinsurance18.404%

Effective 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

Digifab units and claim line

Enter the dose given to get the J1162 units and the NDC line for the CMS-1500 and the 837P.

Enter the units to build the claim line.

Digifab 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.

Digifab NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
50633-0120-11J1162BTG International Inc.11
87131-0120-11J1162Salvagenix, Inc.11

Digifab: common questions

What is the J-code for Digifab?
Digifab is billed under HCPCS J1162 — Injection, digoxin immune fab (ovine), per vial. One billing unit is per vial. CMS's crosswalk lists 2 Digifab NDCs under this code.
How many J1162 billing units are in a package of Digifab?
CMS lists 1 billing units per package, depending on the NDC, where one unit is per vial. Units to report are based on the dose given, not the package.
Is J1162 a CPT code?
No. J1162 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.

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