In short

Privigen is billed under HCPCS J1459 — Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 4 Privigen NDCs under this code.

J1459 code details

Reference

J1459
Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mgBilling unit: 500 mg
Labelers
CSL Behring L.L.C.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$48.963
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

Privigen units and claim line

Enter the dose given to get the J1459 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Privigen 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.

Privigen NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
44206-0436-05J1459CSL Behring L.L.C.5010
44206-0437-10J1459CSL Behring L.L.C.11020
44206-0438-20J1459CSL Behring L.L.C.20040
44206-0439-40J1459CSL Behring L.L.C.40080

Privigen: common questions

What is the J-code for Privigen?
Privigen is billed under HCPCS J1459 — Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg. One billing unit is 500 mg. CMS's crosswalk lists 4 Privigen NDCs under this code.
How many J1459 billing units are in a package of Privigen?
CMS lists 10 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 J1459 a CPT code?
No. J1459 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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