THYMOGLOBULIN J Code: J7511
Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg
Drug & Product Overview
About THYMOGLOBULIN
Thymoglobulin is a medication aligned to the HCPCS J Code: J7511 for billing, pricing, and reimbursement purposes in the United States. Classified under Immunosuppressant, it is administered via the intravenous route and manufactured by Sanofi.
According to CMS Drug Use Information: This medication is used to prevent and treat rejection of a kidney transplant. This medication belongs to a class of drugs known as immunosuppressants. It works by decreasing your body's natural defense (immune system). This helps prevent your body from rejecting the kidney transplant so it can work normally.
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 |
|---|---|---|---|---|
| 58468-0080-01 | Thymoglobulin | Genzyme Corporation | 1 | 25 MG / 5 ML |
THYMOGLOBULIN Pricing & Reimbursement
National median reimbursement across major commercial payers.
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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 Thymoglobulin (J7511) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
THYMOGLOBULIN Medically Unlikely Edits (MUE)
The most billing units of J7511 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 25 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 →
THYMOGLOBULIN 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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Compare THYMOGLOBULIN with alternatives
- THYMOGLOBULIN J7511
- ATGAM J7504
ASP, the Medicare payment limit, WAC and AWP for all 2 drugs on one timeline, with 10+ years of monthly history.
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Frequently Asked Questions
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Does billing THYMOGLOBULIN require JZ/JW wastage modifiers?
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