HCPCS drug code · CMS crosswalk
Gamastan J-Code / HCPCS Code
In short
CMS assigns Gamastan NDCs to 2 HCPCS codes: J1460 (per 1 cc), J1560 (per 10 cc). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J1460
- Injection, gamma globulin, intramuscular, 1 ccBilling unit: 1 cc
- J1560
- Injection, gamma globulin, intramuscular, over 10 ccBilling unit: 10 cc
- Labelers
- Grifols USA, LLC
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. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
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. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Gamastan units and claim line
Enter the dose given to get the J1460 units and the NDC line for the CMS-1500 and the 837P. This builds the J1460 line; use the code page for J1560.
Enter the units to build the claim line.
Gamastan 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 |
|---|---|---|---|---|
| 13533-0335-04 | J1460 | Grifols USA, LLC | 2 | 2 |
| 13533-0335-12 | J1460 | Grifols USA, LLC | 10 | 10 |
| 13533-0335-04 | J1560 | Grifols USA, LLC | 2 | 1 |
| 13533-0335-12 | J1560 | Grifols USA, LLC | 10 | 1 |
Gamastan: common questions
- What is the J-code for Gamastan?
- CMS assigns Gamastan NDCs to 2 HCPCS codes: J1460 (per 1 cc), J1560 (per 10 cc). Which one applies depends on the product; the table lists each NDC with its code.
- How many J1460 billing units are in a package of Gamastan?
- CMS lists 2 to 10 billing units per package, depending on the NDC, where one unit is 1 cc. Units to report are based on the dose given, not the package.
- How many J1560 billing units are in a package of Gamastan?
- CMS lists 1 billing units per package, depending on the NDC, where one unit is 10 cc. Units to report are based on the dose given, not the package.
- Is J1460 a CPT code?
- No. J1460 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.