Home › Drug Codes › J Codes › J1577 · Qivigy
Updated October 1st, 2026

Qivigy J Code: J1577

Injection, immune globulin (qivigy), 100 mg

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Medicare Payment Limit ?
$29.28
/ HCPCS billing unit
APC Payment Limit ?
$29.28
/ HCPCS billing unit · APC 0939
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
4
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Drug & Product Overview

HCPCS Descriptor Injection, immune globulin (qivigy), 100 mg
HCPCS Added Date July 1, 2026
Manufacturer Kedrion Biopharma
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Form Injection, Solution

About Qivigy

Qivigy is a medication aligned to the HCPCS J Code: J1577 for billing, pricing, and reimbursement purposes in the United States. Classified under Immunoglobulin, it is administered via the intravenous route and manufactured by Kedrion Biopharma.

Manufacturers, reach out to us to add more information.

NDC Code Information

Based on publicly available CMS files. Showing 2 of 4 NDCs — log in for the full crosswalk.

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Qivigy Pricing & Reimbursement

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q4 2026

Qivigy 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)
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

Qivigy 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.

Measles exposure Primary Humoral Immunodeficiency
Drug Class
Antigen Neutralization [MoA]Human Immunoglobulin G [EPC]Immunoglobulins [CS]Passively Acquired Immunity [PE]

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Frequently Asked Questions

Is there an available Qivigy billing and coding guide?
A manufacturer-published billing and coding guide for QIVIGY was not found.
Are there any available Qivigy patient assistance programs?
QIVIGY patient assistance information can be found through KEDRION BIOPHARMA. Visit Here →
Where can I find Qivigy prescribing information?
QIVIGY prescribing information can be found at the link below: Visit Here →
Where can I find Qivigy side effect information?
No QIVIGY side effect information link was found.
Does billing QIVIGY require JZ/JW wastage modifiers?
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers.

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