CYTOGAM J Code: J0850

Drug & Product Overview

HCPCS Descriptor Injection, cytomegalovirus immune globulin intravenous (human), per vial

HCPCS Added Date January 1, 1982

Manufacturer Kamada

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Liquid

About CYTOGAM

Cytogam is a medication aligned to the HCPCS J Code: J0850 for billing, pricing, and reimbursement purposes in the United States. It is an Immunoglobulin drug administered via the intravenous route and manufactured by Kamada.

According to CMS Drug Use Information: This medication is used to prevent a certain serious viral infection (cytomegalovirus-CMV) in persons having an organ transplant (kidney, heart, liver, lung, pancreas). During the transplant process, the body's defense system (immune system) is weakened to prevent the body from attacking (rejecting) the new organ. A weakened immune system increases the risk of a serious, possibly fatal infection with CMV. This medication is made from healthy human blood that has a high level of certain defensive substances (antibodies) that help fight CMV. This medication is often used with the antiviral medication ganciclovir.

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. The list of NDCs below is not exhaustive.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
49591-0532-51	Cytogam	Kamada Ltd.	1	2500 MG / 50 ML

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CYTOGAM Pricing & Reimbursement

J0850 Private Payer Reimbursement

$1,871.11 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

CYTOGAM 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)

Not on the CMS JW / JZ list

CMS does not include Cytogam (J0850) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0850. Wastage billing guide →

CYTOGAM Medically Unlikely Edits (MUE)

The most billing units of J0850 Medicare will pay for one patient in one day, as published by CMS. 1 unit = per vial.

Practitioner Office & Hospital Outpatient

9 units / day

Same limit in both settings

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 →

CYTOGAM 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.

Cytomegalovirus disease (prophylaxis) in kidney, lung, liver, pancreas, and heart transplant recipients

Drug Class

Human Immunoglobulin G [EPC]Immunoglobulins [CS]Passively Acquired Immunity [PE]Virus Neutralization [MoA]Virus-specific Hyperimmune Globulins [EXT]

Frequently Asked Questions

Is there an available Cytogam billing and coding guide?

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

Are there any available Cytogam patient assistance programs?

Our team has not identified a manufacturer-published source of patient assistance information for CYTOGAM.

Where can I find Cytogam prescribing information?

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

Where can I find Cytogam side effect information?

Our team has not yet identified a source of side effects information for CYTOGAM. Please check back in a few weeks.

Does billing CYTOGAM require JZ/JW wastage modifiers?

CMS does not include CYTOGAM (J0850) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0850. For more information, visit the link below.

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