In short

J1573 is the HCPCS Level II code for injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml. CMS assigns NDCs for Hepagam B to it. One billing unit is 0.5 ml. The Medicare Part B payment limit is $71.585 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ1573
Billing unit0.5 ml
Descriptor
Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml
Short descriptor
Hepagam b intravenous, inj
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2009

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$71.585
Per0.5 ml
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

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

Enter the units to build the claim line.

NDCs billed under J1573

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 2 NDCs to J1573 for Hepagam B. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J1573 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Hepagam B49591-0051-51Kamada Ltd.510
Hepagam B49591-0052-51Kamada Ltd.12

J1573: common questions

Is J1573 a CPT code?
No. J1573 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 J1573?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 2 NDCs under J1573, for Hepagam B. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J1573?
$71.585 per 0.5 ml, 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 J1573?
One unit of J1573 is 0.5 ml, as stated in the code's descriptor. Units to report = dose given ÷ 0.5 ml. J-code billing units.

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