PANZYGA J Code: J1576
Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg
Drug & Product Overview
About PANZYGA
Panzyga is a medication aligned to the HCPCS J Code: J1576 for billing, pricing, and reimbursement purposes in the United States. It is an Immunoglobulin drug administered via the intravenous route and manufactured by Octapharma.
According to CMS Drug Use Information: This medication is used to strengthen the body's natural defense system (immune system) to lower the risk of infection in persons with a weakened immune system. This medication is made from healthy human blood that has a high level of certain defensive substances (antibodies), which help fight infections. It is also used to increase the blood count (platelets) in persons with a certain blood disorder (idiopathic thrombocytopenia purpura-ITP). Platelets are needed to stop bleeding and form blood clots. Some immune globulin products may also be used to treat certain types of muscle weakness problem (multifocal motor neuropathy, dermatomyositis) or a certain nerve disorder (chronic inflammatory demyelinating polyneuropathy-CIDP). Some products may also be used to prevent certain blood vessel disorders in people with Kawasaki syndrome.
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 24 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00069-1109-02 | Panzyga | Pfizer Laboratories Div Pfizer Inc | 5 | 2500 MG / 25 ML |
| 00069-1224-02 | Panzyga | Pfizer Laboratories Div Pfizer Inc | 10 | 5000 MG / 50 ML |
| 00069-1312-02 | Panzyga | Pfizer Laboratories Div Pfizer Inc | 20 | 10000 MG / 100 ML |
| 00069-1415-02 | Panzyga | Pfizer Laboratories Div Pfizer Inc | 40 | 20000 MG / 200 ML |
| 68982-0822-02 | Panzyga | Octapharma USA Inc | 5 | 2500 MG / 25 ML |
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PANZYGA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →Immune Globulin 505(b)(2) Information:
| HCPCS Code | Manufacturer | Active Ingredient | HCPCS Description |
|---|---|---|---|
| J1552 | GC Biopharma | Immune Globulin | Injection, immune globulin (alyglo), 500 mg |
| J1566 | Takeda Pharmaceuticals | Immune Globulin | Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg |
| J1576 | Generic Code (Multiple Manufacturers) | Immune Globulin | Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg |
PANZYGA Claims Performance
Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.
Explore J1576 claims analytics on FocalPoint →
PANZYGA 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 has identified Panzyga (J1576) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
PANZYGA Medically Unlikely Edits (MUE)
The most billing units of J1576 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 →
PANZYGA 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
Is there an available Panzyga billing and coding guide?
Are there any available Panzyga patient assistance programs?
Where can I find Panzyga prescribing information?
Where can I find Panzyga side effect information?
Does billing PANZYGA require JZ/JW wastage modifiers?
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