In short

Qivigy is billed under HCPCS J1577 — Injection, immune globulin (qivigy), 100 mg. One billing unit is 100 mg. CMS's crosswalk lists 2 Qivigy NDCs under this code.

J1577 code details

Reference

J1577
Injection, immune globulin (qivigy), 100 mgBilling unit: 100 mg
Labelers
Kedrion Biopharma Inc

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$29.28
Per100 mg
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Added October 2026. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Qivigy units and claim line

Enter the dose given to get the J1577 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Qivigy 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.

Qivigy NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
76179-0010-02J1577Kedrion Biopharma Inc5050
76179-0010-04J1577Kedrion Biopharma Inc100100

Qivigy: common questions

What is the J-code for Qivigy?
Qivigy is billed under HCPCS J1577 — Injection, immune globulin (qivigy), 100 mg. One billing unit is 100 mg. CMS's crosswalk lists 2 Qivigy NDCs under this code.
How many J1577 billing units are in a package of Qivigy?
CMS lists 50 to 100 billing units per package, depending on the NDC, where one unit is 100 mg. Units to report are based on the dose given, not the package.
Is J1577 a CPT code?
No. J1577 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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