HCPCS drug code · CMS crosswalk
Hepagam B J-Code / HCPCS Code
In short
CMS assigns Hepagam B NDCs to 2 HCPCS codes: J1571 (per 0.5 ml), J1573 (per 0.5 ml). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J1571
- Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 mlBilling unit: 0.5 ml
- J1573
- Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 mlBilling unit: 0.5 ml
- Labelers
- Kamada Ltd.
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
Hepagam B units and claim line
Enter the dose given to get the J1571 units and the NDC line for the CMS-1500 and the 837P. This builds the J1571 line; use the code page for J1573.
Enter the units to build the claim line.
Hepagam B 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 |
|---|---|---|---|---|
| 49591-0051-51 | J1571 | Kamada Ltd. | 5 | 10 |
| 49591-0052-51 | J1571 | Kamada Ltd. | 1 | 2 |
| 49591-0051-51 | J1573 | Kamada Ltd. | 5 | 10 |
| 49591-0052-51 | J1573 | Kamada Ltd. | 1 | 2 |
Hepagam B: common questions
- What is the J-code for Hepagam B?
- CMS assigns Hepagam B NDCs to 2 HCPCS codes: J1571 (per 0.5 ml), J1573 (per 0.5 ml). Which one applies depends on the product; the table lists each NDC with its code.
- How many J1571 billing units are in a package of Hepagam B?
- CMS lists 2 to 10 billing units per package, depending on the NDC, where one unit is 0.5 ml. Units to report are based on the dose given, not the package.
- How many J1573 billing units are in a package of Hepagam B?
- CMS lists 2 to 10 billing units per package, depending on the NDC, where one unit is 0.5 ml. Units to report are based on the dose given, not the package.
- Is J1571 a CPT code?
- No. J1571 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.