ATGAM J Code: J7504

Drug & Product Overview

HCPCS Descriptor Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg

HCPCS Added Date January 1, 1988

Manufacturer Pfizer

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Form Injection, Solution

About ATGAM

Atgam is a medication aligned to the HCPCS J Code: J7504 for billing, pricing, and reimbursement purposes in the United States. It is an Immunology drug administered via the intravenous route and manufactured by Pfizer.

According to CMS Drug Use Information: Drug uses not available

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. Showing 1 of 2 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00009-7224-02	Atgam	Pharmacia & Upjohn Company LLC	5	250 MG / 5 ML
•••••-••••-•• Log in to view	ATGAM

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ATGAM Pricing & Reimbursement

J7504 Private Payer Reimbursement

$5,466.94 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Historical Graphing and Billing Calculator

per HCPCS unit

As of Q4 2026

ATGAM CPT Administration Codes

CPT Code	Description
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

JW / JZ modifiers apply

CMS has identified Atgam (J7504) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ATGAM Medically Unlikely Edits (MUE)

The most billing units of J7504 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 250 mg.

Practitioner Office & Hospital Outpatient

15 units / day

= 3,750 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

ATGAM Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Aplastic Anemia Renal Allograft Rejection

Drug Class

Antibody-Surface Protein Interactions [MoA]Immunoglobulin G [EPC]Immunoglobulins [CS]Increased T Lymphocyte Destruction [PE]Lymphocyte Function Alteration [PE]

Frequently Asked Questions

Is there an available Atgam billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for ATGAM.

Are there any available Atgam patient assistance programs?

ATGAM patient assistance information can be found through Pharmacia and Upjohn. Visit Here →

Where can I find Atgam prescribing information?

ATGAM prescribing information can be found at the link below: Visit Here →

Where can I find Atgam side effect information?

Information regarding ATGAM's side effects can be found at MedlinePlus Visit Here →

Does billing ATGAM require JZ/JW wastage modifiers?

CMS has identified ATGAM(J7504) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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