Multiple Manufacturers

BIVIGAM

ASP | WAC | AWP at the HCPCS Unit

Manufacturer:

Multiple Manufacturers

Bivigam HCPCS:

J1556

HCPCS Code Descriptor:

Injection, immune globulin (bivigam), 500 mg

Category:

J Code

Bivigam NDCs:

69800-6503-01, 69800-6502-01, 59730-6502-01

Primary Type:

Immunoglobulin

Generic/Specialty Status:

Multi-Source

Package Type:

Vial

Route of Administration:

Intravenous

Bivigam CPT Codes:

-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)

Some of the most common CPT administration codes for 'buy and bill' drugs can be found at the following link:

Potential NDC Listing Errors:

We have identified listing errors with the following NDCs:

59730-6502-01

About Bivigam:

BIVIGAM is a medication manufactured by multiple manufacturers and aligned to the J Code: J1556. BIVIGAM is administered via the intravenous route of administration.

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J1556 Added Date:

January 1, 2014

J1556 Effective Date:

January 1, 2014

J1556 Termination Date:

HCPCS Active

View a Bivigam billing and coding guide at the link below:
Our team did not identify a source for Bivigam patient assistance information. Please reach out to our team if you feel that this is a mistake.
BIVIGAM prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date.
Our team has not yet identified a source of side effects information for BIVIGAM. Please check back in a few weeks.