In short

J1551 is the HCPCS Level II code for injection, immune globulin (cutaquig), 100 mg. CMS assigns NDCs for Cutaquig to it. One billing unit is 100 mg. The Medicare Part B payment limit is $14.172 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ1551
Billing unit100 mg
Descriptor
Injection, immune globulin (cutaquig), 100 mg
Short descriptor
Inj cutaquig 100 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Jul 1, 2022

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$14.172
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. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Units and claim line

Units = dose given ÷ 100 mg. For example, 10000 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

NDCs billed under J1551

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 9 NDCs to J1551 for Cutaquig. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J1551 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Cutaquig00069-1061-02Pfizer Inc610
Cutaquig00069-1476-02Pfizer Inc1220
Cutaquig00069-1509-02Pfizer Inc2440
Cutaquig00069-1965-02Pfizer Inc4880
Cutaquig68982-0810-01Octapharma USA Inc.610
Cutaquig68982-0810-03Octapharma USA Inc.1220
Cutaquig68982-0810-04Octapharma USA Inc.2033
Cutaquig68982-0810-05Octapharma USA Inc.2440
Cutaquig68982-0810-06Octapharma USA Inc.4880

J1551: common questions

Is J1551 a CPT code?
No. J1551 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What NDCs are billed under J1551?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 9 NDCs under J1551, for Cutaquig. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J1551?
$14.172 per 100 mg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.
What is one billing unit of J1551?
One unit of J1551 is 100 mg, as stated in the code's descriptor. Units to report = dose given ÷ 100 mg. J-code billing units.

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