FLEBOGAMMA 10% DIF J Code: J1572
Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg
Drug & Product Overview
About FLEBOGAMMA 10% DIF
Flebogamma 10% DIF is a medication aligned to the HCPCS J Code: J1572 for billing, pricing, and reimbursement purposes in the United States. This Immunoglobulin medication is administered via the intravenous route and manufactured by Grifols.
Manufacturers, reach out to us to add more information.
NDC Code Information
7 NDC packages are crosswalked to J1572. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | FLEBOGAMMA 10% DIF | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | FLEBOGAMMA 10% DIF | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | FLEBOGAMMA 10% DIF | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | FLEBOGAMMA 10% DIF | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
FLEBOGAMMA 10% DIF Pricing & Reimbursement
National median reimbursement across major commercial payers.
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FLEBOGAMMA 10% DIF 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) |
CMS does not include Flebogamma 10% DIF (J1572) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1572. Wastage billing guide →
FLEBOGAMMA 10% DIF Medically Unlikely Edits (MUE)
The most billing units of J1572 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 500 mg.
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 →
FLEBOGAMMA 10% DIF Clinical Information
Indications and drug classification.
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.
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Compare FLEBOGAMMA 10% DIF with same-ingredient drugs
- FLEBOGAMMA 10% DIF J1572
- GAMASTAN J1560
- GAMMAKED J1561
ASP, the Medicare payment limit, WAC and AWP for all 3 drugs on one timeline, with 10+ years of monthly history.
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Frequently Asked Questions
Is there an available Flebogamma 10% Dif billing and coding guide?
Are there any available Flebogamma 10% Dif patient assistance programs?
Where can I find Flebogamma 10% Dif prescribing information?
Where can I find Flebogamma 10% Dif side effect information?
Does billing FLEBOGAMMA 10% DIF require JZ/JW wastage modifiers?
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