GAMMAGARD LIQUID J Code: J1569
Injection, immune globulin, (gammagard liquid/gammagard liquid erc), 500 mg
Q4 2026 Medicare Payment Limit for J1569, effective October 1, 2026: $49.495 per HCPCS billing unit, up 0.4% from $49.303. From CMS's final file.
Drug & Product Overview
About GAMMAGARD LIQUID
Gammagard Liquid is a medication aligned to the HCPCS J Code: J1569 for billing, pricing, and reimbursement purposes in the United States. This Immunoglobulin medication is administered via the intravenous or subcutaneous routes and manufactured by Takeda Pharmaceuticals.
According to CMS Drug Use Information: This medication is used in people with a certain type of weakened immune system (primary immune deficiency) to strengthen it and to lower the risk of infection. This medication is made from healthy human blood that has a high level of antibodies which help fight infections. Some immune globulin products are also used to increase the number of certain blood cells (platelets) in people with a certain blood disorder (idiopathic thrombocytopenic purpura-ITP). Platelets are needed to stop bleeding and to form normal blood clots. Some products may also be used to treat a certain nerve disorder (chronic inflammatory demyelinating polyneuropathy-CIDP). This disorder causes weakness and numbness/tingling/pain in the arms and legs. This medication helps improve these symptoms and prevent relapse.
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 5 of 9 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00944-2700-02 | GAMMAGARD Liquid | Takeda Pharmaceuticals America, Inc. | 2 | 1000 MG / 10 ML |
| 00944-2700-03 | GAMMAGARD Liquid | Takeda Pharmaceuticals America, Inc. | 5 | 2500 MG / 25 ML |
| 00944-2700-04 | GAMMAGARD Liquid | Takeda Pharmaceuticals America, Inc. | 10 | 5000 MG / 50 ML |
| 00944-2700-05 | GAMMAGARD Liquid | Takeda Pharmaceuticals America, Inc. | 20 | 10000 MG / 100 ML |
| 00944-2700-06 | GAMMAGARD Liquid | Takeda Pharmaceuticals America, Inc. | 40 | 20000 MG / 200 ML |
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GAMMAGARD LIQUID Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →GAMMAGARD LIQUID 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) |
| 96369 Login for More | Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s) Login for More |
| 96370 Login for More | Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) Login for More |
CMS has identified Gammagard Liquid (J1569) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
GAMMAGARD LIQUID Medically Unlikely Edits (MUE)
The most billing units of J1569 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 →
GAMMAGARD LIQUID 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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Frequently Asked Questions
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