Home › Drug Codes › J Codes › J1162 · DIGIFAB
Updated July 1st, 2026

DIGIFAB J Code: J1162

Injection, digoxin immune fab (ovine), per vial

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Q4 2026 Medicare Payment Limit for J1162, effective October 1, 2026: $5,711.373 per HCPCS billing unit, up 6.1% from $5,383.321. From CMS's final file.

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Medicare Payment Limit ?
$5,383.321
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$5,383.321
/ HCPCS billing unit · APC 1687
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
3
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Drug & Product Overview

HCPCS Descriptor Injection, digoxin immune fab (ovine), per vial
HCPCS Added Date January 1, 2006
Manufacturer BTG International
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Form Injection, Powder, Lyophilized, For Solution

About DIGIFAB

Digifab is a medication aligned to the HCPCS J Code: J1162 for billing, pricing, and reimbursement purposes in the United States. It is a Cardiology drug administered via the intravenous route and manufactured by BTG International.

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 2 of 3 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
50633-0120-11 DigiFab BTG International Inc. 1 40 MG
87131-0120-11 DigiFab Salvagenix Inc. 1 40 MG
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DIGIFAB Pricing & Reimbursement

J1162 Private Payer Reimbursement
$5,167.05 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

DIGIFAB CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

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 Digifab (J1162) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1162. Wastage billing guide →

DIGIFAB Medically Unlikely Edits (MUE)

The most billing units of J1162 Medicare will pay for one patient in one day, as published by CMS. 1 unit = per vial. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
1 unit / day
Physician office · clinic
Hospital Outpatient
10 units / day
Outpatient hospital · OPPS

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 →

DIGIFAB 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.

Digoxin toxicity
Drug Class
Cardiac Glycoside [EPC]Cardiac Glycosides [CS]

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Frequently Asked Questions

Is there an available Digifab billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for DIGIFAB.
Are there any available Digifab patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for DIGIFAB.
Where can I find Digifab prescribing information?
DIGIFAB prescribing information can be found at the link below: Visit Here →
Where can I find Digifab side effect information?
Our team has not yet identified a source of side effects information for DIGIFAB. Please check back in a few weeks.
Does billing DIGIFAB require JZ/JW wastage modifiers?
CMS does not include DIGIFAB (J1162) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1162. For more information, visit the link below.

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