Billing and Coding: Immune Globulin Intravenous (IVIg) (A57194) - R7 - Effective July 1, 2023

This Local Coverage Article (LCA) has been revised under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

LCD Medicare Coverage Database (MCD) Number: L34074

LCA Medicare Coverage Database Number: A57194

Effective Date: July 1, 2023

Summary of Changes: The Billing and Coding Article has been updated to include and/or remove CPT/HCPCS codes. This article is also linked to the LCD.

New/Revised CPT/HCPCS codes

  • J1576 - Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg

Visit the Active LCDs webpage to view the Active LCA or access it via the CMS MCD.

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