In short

Panzyga is billed under HCPCS J1576 — Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 10 Panzyga NDCs under this code.

J1576 code details

Reference

J1576
Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mgBilling unit: 500 mg
Labelers
Octapharma USA Inc.; Pfizer Inc

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$70.25
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

Panzyga units and claim line

Enter the dose given to get the J1576 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Panzyga 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.

Panzyga NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00069-1109-02J1576Pfizer Inc255
00069-1224-02J1576Pfizer Inc5010
00069-1312-02J1576Pfizer Inc10020
00069-1415-02J1576Pfizer Inc20040
00069-1558-02J1576Pfizer Inc30060
68982-0822-02J1576Octapharma USA Inc.255
68982-0822-03J1576Octapharma USA Inc.5010
68982-0822-04J1576Octapharma USA Inc.10020
68982-0822-05J1576Octapharma USA Inc.20040
68982-0822-06J1576Octapharma USA Inc.30060

Panzyga: common questions

What is the J-code for Panzyga?
Panzyga is billed under HCPCS J1576 — Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 10 Panzyga NDCs under this code.
How many J1576 billing units are in a package of Panzyga?
CMS lists 5 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 J1576 a CPT code?
No. J1576 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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