In short

J1553 is the HCPCS Level II code for injection, immune globulin (yimmugo), 100 mg. CMS assigns NDCs for Yimmugo to it. One billing unit is 100 mg. The Medicare Part B payment limit is $21.664 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ1553
Billing unit100 mg
Descriptor
Injection, immune globulin (yimmugo), 100 mg
Short descriptor
Inj yimmugo 100 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Apr 1, 2026

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$21.664
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 J1553

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 3 NDCs to J1553 for Yimmugo. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J1553 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Yimmugo83372-0605-01Kedrion Biopharma Inc5050
Yimmugo83372-0605-11Kedrion Biopharma Inc100100
Yimmugo83372-0605-21Kedrion Biopharma Inc200200

J1553: common questions

Is J1553 a CPT code?
No. J1553 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 J1553?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 3 NDCs under J1553, for Yimmugo. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J1553?
$21.664 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 J1553?
One unit of J1553 is 100 mg, as stated in the code's descriptor. Units to report = dose given ÷ 100 mg. J-code billing units.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in