In short

Gammagard Liquid is billed under HCPCS J1569 — Injection, immune globulin, (gammagard liquid/gammagard liquid erc), 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 8 Gammagard Liquid NDCs under this code.

J1569 code details

Reference

J1569
Injection, immune globulin, (gammagard liquid/gammagard liquid erc), 500 mgBilling unit: 500 mg
Labelers
Takeda Pharmaceuticals America, Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$49.495
Per500 mg
Coinsurance20%

Effective 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

Gammagard Liquid units and claim line

Enter the dose given to get the J1569 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Gammagard Liquid 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.

Gammagard Liquid NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00944-2700-02J1569Takeda Pharmaceuticals America, Inc.102
00944-2700-03J1569Takeda Pharmaceuticals America, Inc.255
00944-2700-04J1569Takeda Pharmaceuticals America, Inc.5010
00944-2700-05J1569Takeda Pharmaceuticals America, Inc.10020
00944-2700-06J1569Takeda Pharmaceuticals America, Inc.20040
00944-2700-07J1569Takeda Pharmaceuticals America, Inc.30060
00944-2705-10J1569Takeda Pharmaceuticals America, Inc.10020
00944-2705-50J1569Takeda Pharmaceuticals America, Inc.5010

Gammagard Liquid: common questions

What is the J-code for Gammagard Liquid?
Gammagard Liquid is billed under HCPCS J1569 — Injection, immune globulin, (gammagard liquid/gammagard liquid erc), 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 8 Gammagard Liquid NDCs under this code.
How many J1569 billing units are in a package of Gammagard Liquid?
CMS lists 2 to 60 billing units per package, depending on the NDC, where one unit is 500 mg. Units to report are based on the dose given, not the package.
Is J1569 a CPT code?
No. J1569 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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