J1572 – Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg

HCPCS Level II code · J codes: Drugs Administered Other Than Oral Method

Active code Special coverage instructions apply

HCPCS codeJ1572
Long description
Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg
Short description
Flebogamma injection
Pricing indicator
51 Drugs
Medicare coverage
D Special coverage instructions apply
BETOS category
O1E Other drugs
ASC
Approved for ambulatory surgical centers
Added
January 1, 2008
Last change
January 1, 2009 – No change

Frequently asked questions

What is HCPCS code J1572?

J1572 is a HCPCS Level II code for injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg.

Does Medicare cover J1572?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby J codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.