VYVGART J Code: J9332

Drug & Product Overview

HCPCS Descriptor Injection, efgartigimod alfa-fcab, 2mg

HCPCS Added Date July 1, 2022

Manufacturer Argenx US

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection

About VYVGART

Vyvgart is a medication aligned to the HCPCS J Code: J9332 for billing, pricing, and reimbursement purposes in the United States. Classified under Oncology, it is administered via the intravenous route and manufactured by Argenx US.

According to CMS Drug Use Information: Efgartigimod alfa is used to treat a certain muscle condition (generalized myasthenia gravis). It may help to improve symptoms of muscle weakness.

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
73475-3041-05	Vyvgart	Argenx Us	200	400 MG / 20 ML

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VYVGART Pricing & Reimbursement

J9332 Private Payer Reimbursement

$32.45 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

VYVGART Claims Performance

Claims from Jan 2026 – Aug 2026

Claim Denial Rate 19.69%

Avg. Days to File 8.3days

Avg. Days to Pay 23.8days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

Explore J9332 claims analytics on FocalPoint →

VYVGART CPT Administration Codes

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)

JW / JZ modifiers apply

CMS has identified Vyvgart (J9332) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

VYVGART Medically Unlikely Edits (MUE)

The most billing units of J9332 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 2 mg.

Practitioner Office & Hospital Outpatient

600 units / day

= 1,200 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 →

VYVGART 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.

Generalized myasthenia gravis (gMG)

Drug Class

Neonatal Fc Receptor Blocker [EPC]Neonatal Fc Receptor Blockers [MoA]

Frequently Asked Questions

Is there an available Vyvgart billing and coding guide?

Billing and coding information for VYVGART can be found through Argenx. Visit Here →

Are there any available Vyvgart patient assistance programs?

VYVGART patient assistance information can be found through Argenx. Visit Here →

Where can I find Vyvgart prescribing information?

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

Where can I find Vyvgart side effect information?

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

Does billing VYVGART require JZ/JW wastage modifiers?

CMS has identified VYVGART(J9332) 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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