2024 HCPCS Code J1558

Injection, immune globulin (xembify), 100 mg

Short Description	Inj. xembify, 100 mg
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	July 01, 2020
HCPCS Code Added Date	July 01, 2020
HCPCS Pricing Indicator Code	51 - Drugs
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	1 - Medical care
HCPCS Anesthesia Base Unit Quantity	0