HAEGARDA J Code: J0599

Self-Administered Drug Exclusion 7 Medicare Administrative Contractors list J0599 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, First Coast, Noridian (A53032), Noridian (A53033), Novitas, Palmetto, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor Injection, c-1 esterase inhibitor (human), (haegarda), 10 units

HCPCS Added Date January 1, 2019

Manufacturer CSL Behring

Route of Administration Subcutaneous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Kit

About HAEGARDA

Haegarda is a medication aligned to the HCPCS J Code: J0599 for billing, pricing, and reimbursement purposes in the United States. Classified under Immunology, it is administered via the subcutaneous route and manufactured by CSL Behring.

Manufacturers, reach out to us to add more information.

NDC Code Information

2 NDC packages are crosswalked to J0599. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	HAEGARDA
	HAEGARDA

Login to view 2 NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.

HAEGARDA Pricing & Reimbursement

J0599 Private Payer Reimbursement

$12.20 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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HAEGARDA CPT Administration Codes

CPT Code	Description
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

JW / JZ modifiers apply

CMS has identified Haegarda (J0599) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

HAEGARDA Medically Unlikely Edits (MUE)

The most billing units of J0599 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 units.

Practitioner Office & Hospital Outpatient

900 units / day

= 9,000 units per day

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 →

HAEGARDA 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.

Hereditary Angioedema

Frequently Asked Questions

Is there an available Haegarda billing and coding guide?

Billing and coding information for HAEGARDA can be found through CSL Behring. Visit Here →

Are there any available Haegarda patient assistance programs?

HAEGARDA patient assistance information can be found through CSL Behring. Visit Here →

Where can I find Haegarda prescribing information?

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

Where can I find Haegarda side effect information?

Information regarding HAEGARDA's side effects can be found at MedlinePlus Visit Here →

Does billing HAEGARDA require JZ/JW wastage modifiers?

CMS has identified HAEGARDA(J0599) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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