Home › Drug Codes › J Codes › J1575 · HYQVIA
Updated July 1st, 2026

HYQVIA J Code: J1575

Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin

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Q4 2026 Medicare Payment Limit for J1575, effective October 1, 2026: $19.293 per HCPCS billing unit, up 5.2% from $18.347. From CMS's final file.

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Medicare Payment Limit ?
$18.347
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$18.347
/ HCPCS billing unit · APC 1826
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
5
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Drug & Product Overview

HCPCS Descriptor Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin
HCPCS Added Date January 1, 2016
Manufacturer Takeda Pharmaceuticals
Route of Administration Subcutaneous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Kit

About HYQVIA

Hyqvia is a medication aligned to the HCPCS J Code: J1575 for billing, pricing, and reimbursement purposes in the United States. This Immunoglobulin medication is administered via the subcutaneous route and manufactured by Takeda Pharmaceuticals.

According to CMS Drug Use Information: This kit contains two medications: immune globulin and hyaluronidase. Immune globulin is used to boost the body's natural defense system against infection in persons with a weakened immune system (primary immune deficiency). Immune globulin contains natural substances called antibodies (a type called IgG) that come from healthy human blood (plasma). These antibodies help protect your body against infections and help you to fight an infection if you get sick. Immune globulin is also 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 to improve these symptoms and prevents relapse. Hyaluronidase is used to help the body absorb the immune globulin.

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
00944-2510-02 Hyqvia Takeda Pharmaceuticals America, Inc. 25 Kit
00944-2511-02 Hyqvia Takeda Pharmaceuticals America, Inc. 50 Kit
00944-2512-02 Hyqvia Takeda Pharmaceuticals America, Inc. 100 Kit
00944-2513-02 Hyqvia Takeda Pharmaceuticals America, Inc. 200 Kit
00944-2514-02 Hyqvia Takeda Pharmaceuticals America, Inc. 300 Kit
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HYQVIA Pricing & Reimbursement

J1575 Private Payer Reimbursement
$18.92 / 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

HYQVIA 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
96369 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)
96370 Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
96372 Login for More Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular Login for More
JW / JZ modifiers apply

CMS has identified Hyqvia (J1575) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

HYQVIA Medically Unlikely Edits (MUE)

The most billing units of J1575 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 100 mg.

Practitioner Office & Hospital Outpatient
3,000 units / day
= 300,000 mg 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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

HYQVIA 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.

Chronic Inflammatory Demyelinating Polyneuropathy Primary Immunodeficiency

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Frequently Asked Questions

Is there an available Hyqvia billing and coding guide?
Billing and coding information for HYQVIA can be found through Baxalta. Visit Here →
Are there any available Hyqvia patient assistance programs?
HYQVIA patient assistance information can be found through Baxalta. Visit Here →
Where can I find Hyqvia prescribing information?
HYQVIA prescribing information can be found at the link below: Visit Here →
Where can I find Hyqvia side effect information?
Our team has not yet identified a source of side effects information for HYQVIA. Please check back in a few weeks.
Does billing HYQVIA require JZ/JW wastage modifiers?
CMS has identified HYQVIA(J1575) 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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