In short

Gamunex-C is billed under HCPCS J1561 — Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 6 Gamunex-C NDCs under this code.

J1561 code details

Reference

J1561
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mgBilling unit: 500 mg
Labelers
Grifols USA, LLC

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$48.022
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

Gamunex-C units and claim line

Enter the dose given to get the J1561 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Gamunex-C 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.

Gamunex-C NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
13533-0800-12J1561Grifols USA, LLC102
13533-0800-15J1561Grifols USA, LLC255
13533-0800-20J1561Grifols USA, LLC5010
13533-0800-24J1561Grifols USA, LLC20040
13533-0800-40J1561Grifols USA, LLC40080
13533-0800-71J1561Grifols USA, LLC10020

Gamunex-C: common questions

What is the J-code for Gamunex-C?
Gamunex-C is billed under HCPCS J1561 — Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 6 Gamunex-C NDCs under this code.
How many J1561 billing units are in a package of Gamunex-C?
CMS lists 2 to 80 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 J1561 a CPT code?
No. J1561 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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