{"id":179905,"date":"2026-08-14T07:48:07","date_gmt":"2026-08-14T07:48:07","guid":{"rendered":"https:\/\/pabau.com\/?p=179905"},"modified":"2026-08-14T07:48:10","modified_gmt":"2026-08-14T07:48:10","slug":"hcpcs-code-j1460","status":"publish","type":"post","link":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/","title":{"rendered":"HCPCS Code J1460: Injection, gamma globulin, intramuscular, 1 cc"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"HCPCS Code J1460: Injection, gamma globulin, intramuscular, 1 cc\",\"description\":\"Complete billing reference for HCPCS Code J1460 (Injection, gamma globulin, intramuscular, 1 cc). Covers Medicare reimbursement rates, NDC crosswalk, buy-and-bill guidance, ICD-10 pairings, and denial prevention.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1460\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-08-10\",\"dateModified\":\"2026-08-14\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>HCPCS Code J1460 covers an injection of gamma globulin given intramuscularly, billed as one unit per 1 cc administered.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Gamastan is the immune globulin product billed under J1460 in almost every case. Grifols manufactures it, and the FDA has approved it for IM use.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Medicare Part B pays J1460 at ASP+6% under the buy-and-bill model. Rates change quarterly, so pull the figure from the current CMS ASP pricing file.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau records the dose, lot number, and NDC at the point of care, which heads off the most common J1460 denials.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">HCPCS Code J1460 is the Level II drug code for gamma globulin injected intramuscularly, billed as one unit per 1 cc administered. Gamastan, the immune globulin product from Grifols, is what practices bill under it in almost every case.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Denials on this code come from a short list of causes. Units get billed in milligrams instead of cc, or the NDC is missing from a Medicaid claim. Sometimes the diagnosis code does not match what the payer covers for immune globulin.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">All three are settled at the point of care, before anyone opens a claim form. <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">Claims management software<\/a> that pulls the dose and NDC straight from the treatment note removes the retyping step where those errors start.<\/p>\n\n\n\n<h2 id=\"h-hcpcs-code-j1460-official-description-and-code-details\" class=\"wp-block-heading\">HCPCS Code J1460: Official description and code details<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">HCPCS Code J1460 is a Level II drug code maintained by the <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/healthcare-common-procedure-system\" target=\"_blank\" rel=\"nofollow noopener\">Centers for Medicare and Medicaid Services (CMS)<\/a>. It sits in the J-series of physician-administered drug codes. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The official descriptor reads: <em>Injection, gamma globulin, intramuscular, 1 cc.<\/em> The code covers immune globulin (IG) products delivered by the intramuscular route, billed per each 1 cc administered.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Details<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">HCPCS code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">J1460<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Official description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, gamma globulin, intramuscular, 1 cc<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Primary brand<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Gamastan (Gamastan S\/D), manufactured by Grifols<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Administration route<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Intramuscular (IM) only<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Unit of service<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Per 1 cc administered<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">HCPCS Level II, J-series (drug code)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicare benefit<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Medicare Part B (physician-administered drug)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billing model<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Buy-and-bill (provider purchases, administers, and bills)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The route of administration is the coding distinction that decides everything else. J1460 covers only the intramuscular route. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If a provider gives immune globulin subcutaneously or intravenously, a different HCPCS code applies. Billing J1460 for an IV infusion is one of the most common errors in this drug class and a reliable denial trigger.<\/p>\n\n\n\n<h2 id=\"h-what-drug-does-j1460-represent\" class=\"wp-block-heading\">What drug does J1460 represent?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">J1460 covers gamma globulin, also called immune globulin (IG) or immunoglobulin. Gamastan (immune globulin, human) from Grifols is the primary FDA-approved product billed under this code. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gamastan S\/D is a sterile, preservative-free solution drawn from large pools of human plasma. It provides passive immunity by transferring donor antibodies to the patient.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices administering Gamastan should confirm scope of practice and any state delegation rules that govern <a href=\"https:\/\/pabau.com\/blog\/who-can-administer-iv-vitamin-therapy\/\">who can administer injections<\/a>. The IM route keeps dosing simple, but every cc still has to reach the claim exactly as it was given.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The primary clinical indications for gamma globulin by the IM route include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Primary immunodeficiency disorders<\/strong> (agammaglobulinemia, combined immunodeficiency): passive antibody replacement where patients cannot produce adequate IgG<\/li>\n\n\n\n<li><strong>Hepatitis A prophylaxis<\/strong>: post-exposure or pre-exposure passive immunization for susceptible individuals<\/li>\n\n\n\n<li><strong>Measles prophylaxis<\/strong>: passive immunization for exposed, susceptible individuals when measles vaccine is contraindicated<\/li>\n\n\n\n<li><strong>Rubella prophylaxis<\/strong>: for susceptible pregnant women exposed to rubella when termination is not an option<\/li>\n\n\n\n<li><strong>Varicella (chickenpox) exposure<\/strong>: in select high-risk patients when varicella zoster immune globulin (VariZIG) is unavailable<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Post-exposure prophylaxis puts J1460 on claim lists well outside immunology, including primary care and <a href=\"https:\/\/pabau.com\/industry\/travel-clinic-software\/\">travel medicine practices<\/a>. Coverage criteria still vary by payer and by Medicare Administrative Contractor (MAC). Check the applicable Local Coverage Determination (LCD) before billing.<\/p>\n\n\n\n<h2 id=\"h-clinical-indications-and-coverage-criteria\" class=\"wp-block-heading\">Clinical indications and coverage criteria<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare Part B covers J1460 when the service is medically necessary and documented according to CMS coverage policy. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Coverage sits in the LCDs and National Coverage Determinations (NCDs) maintained by individual MACs. Covered indications differ by contractor region, so pull the current LCD from your own MAC before submitting.<\/p>\n\n\n\n<h3 id=\"h-supported-icd-10-diagnosis-codes\" class=\"wp-block-heading\">Supported ICD-10 diagnosis codes<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The following ICD-10-CM codes are commonly paired with J1460 claims. Treat them as guidance-level pairings, and verify the specific codes your MAC accepts before submission.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical context<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D80.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hereditary hypogammaglobulinemia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Primary immunodeficiency; IG replacement<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D80.1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Nonfamilial hypogammaglobulinemia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Primary immunodeficiency; IG replacement<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D81.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Severe combined immunodeficiency (SCID) with reticular dysgenesis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Combined immunodeficiency; passive immunity<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Z20.5<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Contact with and (suspected) exposure to viral hepatitis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hepatitis A post-exposure prophylaxis<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">B05.9<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Measles without complication<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Measles exposure prophylaxis in susceptible patients<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Z23<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Encounter for immunization<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Prophylactic administration context; confirm payer acceptance<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Diagnosis pairings for J1460 are payer-specific. A pairing one MAC accepts may not satisfy another, so verify against the current applicable LCD before submission. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The D80-D89 range for immunodeficiency disorders broadly supports immune globulin replacement claims. Which codes inside that range qualify still varies by contractor policy.<\/p>\n\n\n\n<h2 id=\"h-how-to-bill-j1460-units-modifiers-and-documentation\" class=\"wp-block-heading\">How to bill J1460: Units, modifiers, and documentation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Billing errors on this code almost always trace back to a wrong unit count or thin documentation. Both are fixable before the claim reaches the payer. <a href=\"https:\/\/pabau.com\/templates\/iv-therapy-patient-intake\/\">Injection intake documentation<\/a> that records the dose while the patient is still in the chair makes the unit count self-evident.<\/p>\n\n\n\n<h3 id=\"h-unit-calculation\" class=\"wp-block-heading\">Unit calculation<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">J1460 is billed per 1 cc of immune globulin administered. Bill the number of units equal to the total volume injected. A 2 cc dose is 2 units. A 5 cc dose is 5 units. Do not round in either direction. Bill the exact cc volume documented in the clinical note.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Volume-based units are unusual in the J-series. Weight-based codes such as <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1441\/\">J1441<\/a> and <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1120\/\">J1120<\/a> count micrograms or milligrams of drug instead. A habit carried over from those codes produces the wrong number here.<\/p>\n\n\n\n<h3 id=\"h-applicable-modifiers\" class=\"wp-block-heading\">Applicable modifiers<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Two CMS drug-waste modifiers apply to single-dose vial drugs billed under buy-and-bill arrangements. They are the same pair you append to other single-vial drug codes, such as <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j0895\/\">J0895<\/a>. Check current CMS transmittal guidance for effective dates and how each applies to J1460.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>JW modifier<\/strong>: Reports discarded drug from a single-dose vial or package. It is required when part of the vial is wasted. Bill the total vial content across two lines: units administered under J1460, and units wasted under J1460 with the JW modifier.<\/li>\n\n\n\n<li><strong>JZ modifier<\/strong>: Attests that no drug was discarded from the vial. Append it to J1460 when the entire vial was used. CMS made JZ mandatory from July 1, 2023, after finding low compliance with JW waste reporting. It adds a reporting step, and the data it produces supports manufacturer refunds for discarded drug under the Infrastructure Investment and Jobs Act.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Not every payer recognizes JW and JZ the same way, so check individual payer policies. Submitting JW without waste documentation is a compliance risk. Submitting JZ when waste occurred is an error.<\/p>\n\n\n\n<h3 id=\"h-documentation-requirements\" class=\"wp-block-heading\">Documentation requirements<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Every J1460 claim needs clinical documentation covering five points:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The indication, recorded as a specific diagnosis<\/li>\n\n\n\n<li>The dose administered, in cc<\/li>\n\n\n\n<li>The lot number and NDC of the vial used<\/li>\n\n\n\n<li>The date and anatomical site of injection<\/li>\n\n\n\n<li>The provider who administered the drug<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">Digital intake forms<\/a> that capture these details at the time of administration keep the note complete while the facts are still fresh. Anything reconstructed a week later tends to be the part a payer questions.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-j1460\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s customizable consent and intake forms record the dose, lot number, and NDC at administration, so the J1460 claim is built from the note.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Document the Gamastan lot number and NDC at the point of administration, not after the fact. Claims without a traceable NDC are a leading Medicaid denial reason for J1460. Building NDC capture into the injection workflow is far less disruptive than chasing a denied claim weeks later.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-j1460-medicare-reimbursement-rate-and-fee-schedule\" class=\"wp-block-heading\">J1460 Medicare reimbursement rate and fee schedule<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare Part B reimburses HCPCS Code J1460 under the Average Sales Price (ASP) methodology. The formula is ASP+6%, or 106% of the manufacturer&#8217;s average sales price. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CMS updates ASP-based rates quarterly, so any dollar figure printed here would be stale within months. Pull the current rate from the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule lookup tool<\/a> or the quarterly ASP drug pricing file.<\/p>\n\n\n\n<h3 id=\"h-fee-schedule-by-payer\" class=\"wp-block-heading\">Fee schedule by payer<\/h3>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Payer<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Rate methodology<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicare Part B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">ASP + 6%<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Quarterly updates; verify via CMS ASP drug pricing file<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicaid<\/td>\n<td style=\"padding:12px 16px;color:#374151\">State fee schedule (varies)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Each state sets its own rate; NDC reporting required on claims<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Commercial\/managed care<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Contract-negotiated<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Rates vary by plan and contract; verify with individual payer<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicare Advantage<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Plan-specific (typically tracks Medicare Part B)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Prior auth requirements may differ from traditional Medicare<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The ASP+6% formula is built to cover acquisition cost plus a small margin. What you actually clear against acquisition cost depends on your purchase price and your contract. Present ASP+6% as the Medicare formula, and do not assume a fixed margin behind it.<\/p>\n\n\n\n<h2 id=\"h-ndc-to-hcpcs-crosswalk-for-j1460\" class=\"wp-block-heading\">NDC-to-HCPCS crosswalk for J1460<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The crosswalk links Gamastan&#8217;s National Drug Code numbers to HCPCS Code J1460. NDC reporting is mandatory for Medicaid and required by many commercial payers. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare Part B usually does not require it on the claim form, though many MACs recommend it for audit defensibility. <a href=\"https:\/\/pabau.com\/blog\/best-emr-for-iv-therapy\/\">EMR platforms for injectables<\/a> often carry NDC fields that populate as soon as the product is selected.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Product<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">NDC format<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Strength \/ size<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Unit qualifier<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Gamastan S\/D (Grifols)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">11-digit NDC (verify current via FDA label)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">2 mL vial; 10 mL vial<\/td>\n<td style=\"padding:12px 16px;color:#374151\">ML (milliliter)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">On a Medicaid claim, report the 11-digit NDC in 5-4-2 format on the claim line. The unit qualifier is ML, and 1 mL equals 1 cc for J1460 billing. Confirm the current Gamastan NDC numbers against the manufacturer or the FDA product label before submission, since they change with package updates.<\/p>\n\n\n\n<h2 id=\"h-buy-and-bill-process-for-gamastan\" class=\"wp-block-heading\">Buy-and-bill process for Gamastan<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">J1460 follows the standard buy-and-bill model for physician-administered Part B drugs. The practice purchases the drug, administers it, and then bills the payer for reimbursement. That makes purchasing part of the billing chain. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/features\/inventory-management-software\/\">Inventory management software<\/a> that tracks vials by lot number keeps the acquisition record and the claim in step.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Purchase Gamastan from a licensed distributor or specialty pharmacy.<\/strong> Keep the invoice, lot number, and NDC for every vial received. Acquisition cost documentation matters for cost reporting and audit defense.<\/li>\n\n\n\n<li><strong>Verify patient eligibility and coverage criteria before administration.<\/strong> Confirm the payer benefit, active coverage, and whether prior authorization applies to this indication.<\/li>\n\n\n\n<li><strong>Administer the IM injection and document immediately.<\/strong> Record the dose in cc, the injection site, the lot number, the NDC, and the administering provider. This note is the foundation of the claim.<\/li>\n\n\n\n<li><strong>Calculate billing units.<\/strong> Count the total cc administered and bill that number of J1460 units. If any vial content was wasted, append the JW modifier to the waste line.<\/li>\n\n\n\n<li><strong>Submit the claim with J1460, units, the supporting ICD-10 code, and the NDC where required.<\/strong> Medicare Part B claims go on the CMS-1500 or the 837P. Medicaid claims need the NDC in the appropriate field with the ML qualifier.<\/li>\n\n\n\n<li><strong>Track reimbursement against acquisition cost.<\/strong> Compare the ASP+6% payment to your Gamastan purchase price. A wide gap points to a purchasing or contracting problem rather than a billing one.<\/li>\n<\/ol>\n\n\n\n<h2 id=\"h-prior-authorization-requirements\" class=\"wp-block-heading\">Prior authorization requirements<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Prior authorization (PA) requirements for J1460 vary widely by payer. Traditional Medicare Part B does not universally require PA, though some MACs impose coverage criteria documentation. Medicare Advantage plans frequently require authorization where traditional Medicare does not. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/blog\/mobile-iv-therapy-business\/\">Mobile injection services<\/a> carry the same obligations as fixed sites, since the location of administration does not change the payer rule.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medicaid programs and commercial insurers set their own PA policies. Some want clinical documentation before the first dose, others only for ongoing or high-dose administration. Verify with the individual payer before the administration date rather than after the denial.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Payer type<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">PA requirement<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Documentation typically needed<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Traditional Medicare Part B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Generally not required<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Medical necessity documentation; LCD compliance<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicare Advantage<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Often required; varies by plan<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Diagnosis confirmation, dose schedule, prescriber info<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicaid<\/td>\n<td style=\"padding:12px 16px;color:#374151\">State-specific; often required<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Clinical justification, failure of alternatives (in some states)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Commercial\/managed care<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Frequently required<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Clinical notes, lab values confirming immunodeficiency or exposure<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-related-hcpcs-codes-and-code-crosswalk-for-immune-globulin-billing\" class=\"wp-block-heading\">Related HCPCS codes and code crosswalk for immune globulin billing<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">J1460 covers IM-route immune globulin only. Several other HCPCS codes cover immune globulin products by different routes or formulations. Using the wrong one for the route given is an audit risk. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/industry\/iv-therapy-emr-software\/\">IV therapy EMR software<\/a> that maps each protocol to the correct J-code by route removes that error class. For reference lookups, the <a href=\"https:\/\/www.aapc.com\/codes\/hcpcs-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC HCPCS code search<\/a> lists descriptors and related crosswalks.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">HCPCS code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Key difference from J1460<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">J1459<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, immune globulin (Privigen), intravenous, non-lyophilized, 500 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">IV route; brand-specific (Privigen)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">J1460<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, gamma globulin, intramuscular, 1 cc<\/td>\n<td style=\"padding:12px 16px;color:#374151\">This code; IM route only<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">J1558<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, immune globulin (Xembify), 100 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subcutaneous route; 100 mg unit<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">J1561<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, immune globulin (Gamunex\/Gamunex-C\/Gammaked), intravenous, non-lyophilized, 500 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">IV route; specific brand<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">J1562<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, immune globulin (Vivaglobin), subcutaneous, 100 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Legacy code; CSL Behring withdrew Vivaglobin from the US market in 2011<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">J1569<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, immune globulin (Gammagard Liquid), non-lyophilized, 500 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">IV or SQ; liquid, non-lyophilized formulation<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">J1572<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Injection, immune globulin (Flebogamma\/Flebogamma DIF), intravenous, non-lyophilized, 500 mg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">IV route; brand-specific<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Route and formulation are what separate these codes. Never pick a J-code from the drug name alone without checking that the descriptor matches the route given. Brand-specific codes such as <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1561\/\">J1561<\/a> and <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1568\/\">J1568<\/a> show how narrow the descriptors get once a product has its own entry.<\/p>\n\n\n\n<h2 id=\"h-common-billing-errors-and-denial-reasons\" class=\"wp-block-heading\">Common billing errors and denial reasons<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Denied J1460 claims cluster around a handful of avoidable errors, and each one has a checkpoint that catches it before submission. Practices that run <a href=\"https:\/\/pabau.com\/blog\/vaccines-announcement\/\">vaccine and injection workflows<\/a> inside their practice management system capture those checkpoints during the visit instead of afterwards.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Denial reason<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Root cause<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Prevention<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Incorrect units billed<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Dose in mg billed instead of cc volume; vial size used instead of dose administered<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bill exact cc administered; confirm 1 cc = 1 unit before submission<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Missing or invalid ICD-10 code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Diagnosis not on payer&#8217;s covered indication list; unspecified code used<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Map indication to specific ICD-10; verify against current MAC LCD<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Missing NDC on Medicaid claim<\/td>\n<td style=\"padding:12px 16px;color:#374151\">NDC not captured at administration; NDC field left blank<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Capture NDC at point of care; include 11-digit NDC with ML qualifier<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Prior authorization not obtained<\/td>\n<td style=\"padding:12px 16px;color:#374151\">PA required by payer but not secured before administration<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Verify PA requirement with each payer before scheduling administration<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Wrong J-code for route<\/td>\n<td style=\"padding:12px 16px;color:#374151\">IV or SQ product billed under J1460 (IM-only code)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Confirm route in the product label; select J-code matching the actual route<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medical necessity not documented<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Clinical note insufficient; no documentation of indication supporting the ICD-10 code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Document diagnosis, exposure history, and clinical decision in the visit note before billing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">JW\/JZ modifier error<\/td>\n<td style=\"padding:12px 16px;color:#374151\">JW filed without waste documentation; JZ filed when waste occurred<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Record full vial content, dose given, and cc wasted at the time of administration<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Run a five-point check on every J1460 claim before it goes out. Units must equal the cc administered, and the ICD-10 code must match the current MAC LCD. The NDC belongs on Medicaid claims, the PA number on file where required, and JW or JZ applied correctly. Those five checks prevent the bulk of J1460 denials.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-how-pabau-keeps-j1460-documentation-and-claims-aligned\" class=\"wp-block-heading\">How Pabau keeps J1460 documentation and claims aligned<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In most practices the J1460 details are scattered by the time billing needs them. The dose sits in a clinical note. The lot number is on a sticker or a stock sheet, and the NDC is on the vial carton. A biller then reassembles all three from memory and email.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau is practice management software that keeps those fields in one record. The injection is charted against the patient&#8217;s appointment, and the diagnosis is already on the encounter. The vial is drawn from tracked stock, with its lot number and NDC attached. Billing works from the note itself rather than from a reconstruction.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The result is a shorter path from administration to a clean claim, and a shorter list of denials to work later. Every subscription includes the full feature set, so charting, stock tracking, and invoicing arrive together rather than as separate purchases.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Streamline your J-code billing workflows                <\/h3>\n\n                <p class=\"description\">\n                    Pabau helps practices that administer injectable therapies document the dose, track lot numbers and NDCs, and send cleaner claims. Fewer details go missing between the treatment room and the claim form.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management platform\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">J1460 is a simple code with an unforgiving unit definition. Count the cc, match the route to the descriptor, and carry the NDC through to the claim line. Practices that get those three right rarely see this code denied.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The work that decides the outcome happens in the treatment room, not in the billing queue. Once the dose, lot number, and diagnosis are captured while the patient is still present, submission becomes a formality and appeals become rare. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau captures those details at the point of care for injection billing.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing another buy-and-bill injectable?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j1250\/\">J1250<\/a> walks through units, documentation, and the denial patterns on a per-unit drug code.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need the rules for another IM injection code?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-j0780\/\">J0780<\/a> covers unit calculation and coverage criteria for an intramuscular drug billed under Part B.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing the administration alongside the drug?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-g0008\/\">G0008<\/a> explains how administration codes are reported and what documentation Medicare expects.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Issuing paperwork for out-of-network patients?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/superbill\/\">Superbill guide<\/a> sets out which codes and details a patient needs to claim reimbursement themselves.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786626544387\"><h3 class=\"schema-faq-question\">What is HCPCS Code J1460 used for?<\/h3> <p class=\"schema-faq-answer\">HCPCS Code J1460 is used to bill an injection of gamma globulin administered by the intramuscular route, billed per 1 cc of product given. It covers Gamastan (immune globulin, human) for indications including primary immunodeficiency disorders, hepatitis A prophylaxis, and measles prophylaxis in susceptible patients.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786626544388\"><h3 class=\"schema-faq-question\">What drug is billed under J1460?<\/h3> <p class=\"schema-faq-answer\">Gamastan (immune globulin, human), manufactured by Grifols, is the primary drug billed under J1460. It is the FDA-approved intramuscular immune globulin product tied to this code. Immune globulin products given intravenously or subcutaneously are billed under different HCPCS codes, not J1460.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786626544389\"><h3 class=\"schema-faq-question\">How many units of J1460 should I bill?<\/h3> <p class=\"schema-faq-answer\">Bill one unit of J1460 for every 1 cc of gamma globulin administered. A 2 cc dose equals 2 units, and a 5 cc dose equals 5 units. Bill the exact volume documented in the clinical note. Never use the vial size or the dose in milligrams as the billing unit.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786626544390\"><h3 class=\"schema-faq-question\">Does J1460 require prior authorization?<\/h3> <p class=\"schema-faq-answer\">Prior authorization requirements for J1460 vary by payer. Traditional Medicare Part B generally does not require it, but Medicare Advantage plans, Medicaid programs, and commercial insurers frequently do. Verify prior authorization requirements with the individual payer before administering Gamastan, so a retroactive denial cannot follow.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786626544391\"><h3 class=\"schema-faq-question\">What ICD-10 codes are used with J1460?<\/h3> <p class=\"schema-faq-answer\">Common ICD-10-CM codes paired with J1460 include D80.0 (hereditary hypogammaglobulinemia), D80.1 (nonfamilial hypogammaglobulinemia), D81.0 (severe combined immunodeficiency), Z20.5 (hepatitis A exposure), and B05.9 (measles). Which codes support coverage varies by payer and by MAC Local Coverage Determination, so verify against the current applicable LCD.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786626544392\"><h3 class=\"schema-faq-question\">What is the difference between J1460 and other immune globulin J-codes?<\/h3> <p class=\"schema-faq-answer\">J1460 covers gamma globulin given by the intramuscular route only, billed per 1 cc. Other J-codes such as J1459, J1561, J1569, and J1572 cover immune globulin delivered intravenously or subcutaneously. Those codes usually carry higher doses per unit and brand-specific descriptors. Route is the primary differentiator, and using the wrong J-code for the route given is a common denial cause.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>J1460 bills IM gamma globulin at one unit per cc, almost always Gamastan. See units, NDC rules, ICD-10 pairings and denial fixes.<\/p>\n","protected":false},"author":83,"featured_media":179904,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"84","_yoast_wpseo_content_score":"60","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1548],"tags":[4116,2957,1619,1611,3667,3038,2953,1625,1163,3044,1919,1063,1826],"class_list":["post-179905","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-hcpcs","tag-billing-codes","tag-drug-administration-billing","tag-hcpcs-billing","tag-hcpcs-codes","tag-immune-globulin-billing","tag-injectable-drug-codes","tag-j-code-billing","tag-j-codes","tag-medical-billing","tag-medicare-part-b","tag-modifier-usage","tag-posts-us","tag-prior-authorization"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>HCPCS Code J1460: Gamastan Billing, Units &amp; Modifiers<\/title>\n<meta name=\"description\" content=\"J1460 bills IM gamma globulin at one unit per cc, almost always Gamastan. See units, NDC rules, ICD-10 pairings and denial fixes.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HCPCS Code J1460: Gamastan Billing, Units &amp; Modifiers\" \/>\n<meta property=\"og:description\" content=\"J1460 bills IM gamma globulin at one unit per cc, almost always Gamastan. See units, NDC rules, ICD-10 pairings and denial fixes.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-14T07:48:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-14T07:48:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j1460.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Anja Dodevska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"Anja Dodevska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data2\" content=\"14\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/\"},\"author\":{\"name\":\"Anja Dodevska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#\\\/schema\\\/person\\\/f2e43b25ed02313e8781f0f4507398b9\"},\"headline\":\"HCPCS Code J1460: Injection, gamma globulin, intramuscular, 1 cc\",\"datePublished\":\"2026-08-14T07:48:07+00:00\",\"dateModified\":\"2026-08-14T07:48:10+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/\"},\"wordCount\":2859,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-j1460.webp\",\"keywords\":[\"billing codes\",\"Drug Administration Billing\",\"Hcpcs Billing\",\"Hcpcs Codes\",\"Immune Globulin Billing\",\"Injectable drug codes\",\"J Code Billing\",\"J Codes\",\"Medical Billing\",\"Medicare Part B\",\"Modifier Usage\",\"posts-us\",\"Prior authorization\"],\"articleSection\":[\"Billing Codes\",\"HCPCS\"],\"inLanguage\":\"de\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/\",\"name\":\"HCPCS Code J1460: Gamastan Billing, Units & Modifiers\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-j1460.webp\",\"datePublished\":\"2026-08-14T07:48:07+00:00\",\"dateModified\":\"2026-08-14T07:48:10+00:00\",\"description\":\"J1460 bills IM gamma globulin at one unit per cc, almost always Gamastan. See units, NDC rules, ICD-10 pairings and denial fixes.\",\"mainEntity\":[{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544387\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544388\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544389\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544390\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544391\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544392\"}],\"inLanguage\":\"de\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"de\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#primaryimage\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-j1460.webp\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-j1460.webp\",\"width\":1200,\"height\":630},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#website\",\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/\",\"name\":\"Pabau\",\"description\":\"Clinic Software for your Business | Go Paperless Today\",\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/pabau.com\\\/de\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"de\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#organization\",\"name\":\"Pabau\",\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"de\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2022\\\/05\\\/Logo-4-e1654525062364.png\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2022\\\/05\\\/Logo-4-e1654525062364.png\",\"width\":736,\"height\":195,\"caption\":\"Pabau\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/Pabau\\\/\",\"https:\\\/\\\/x.com\\\/pabaucrm\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/pabau-ltd\\\/\",\"https:\\\/\\\/www.instagram.com\\\/pabausoftware\\\/\"],\"description\":\"Pabau is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.\",\"foundingDate\":\"2011-10-20\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"201\",\"maxValue\":\"500\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#\\\/schema\\\/person\\\/f2e43b25ed02313e8781f0f4507398b9\",\"name\":\"Anja Dodevska\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"de\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg\",\"caption\":\"Anja Dodevska\"},\"description\":\"Anja Dodevska writes about healthcare, dermatology, and the day-to-day realities of running a medical practice for Pabau. She enjoys breaking down complex topics into clear, accessible content and has a soft spot for the often-overlooked aspects of clinic life. When she's not writing, she's exploring cafes, walking her dog, or spending time with friends and family.\",\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/blog\\\/author\\\/anja-dodevska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544387\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544387\",\"name\":\"What is HCPCS Code J1460 used for?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"HCPCS Code J1460 is used to bill an injection of gamma globulin administered by the intramuscular route, billed per 1 cc of product given. It covers Gamastan (immune globulin, human) for indications including primary immunodeficiency disorders, hepatitis A prophylaxis, and measles prophylaxis in susceptible patients.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544388\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544388\",\"name\":\"What drug is billed under J1460?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Gamastan (immune globulin, human), manufactured by Grifols, is the primary drug billed under J1460. It is the FDA-approved intramuscular immune globulin product tied to this code. Immune globulin products given intravenously or subcutaneously are billed under different HCPCS codes, not J1460.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544389\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544389\",\"name\":\"How many units of J1460 should I bill?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Bill one unit of J1460 for every 1 cc of gamma globulin administered. A 2 cc dose equals 2 units, and a 5 cc dose equals 5 units. Bill the exact volume documented in the clinical note. Never use the vial size or the dose in milligrams as the billing unit.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544390\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544390\",\"name\":\"Does J1460 require prior authorization?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Prior authorization requirements for J1460 vary by payer. Traditional Medicare Part B generally does not require it, but Medicare Advantage plans, Medicaid programs, and commercial insurers frequently do. Verify prior authorization requirements with the individual payer before administering Gamastan, so a retroactive denial cannot follow.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544391\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544391\",\"name\":\"What ICD-10 codes are used with J1460?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Common ICD-10-CM codes paired with J1460 include D80.0 (hereditary hypogammaglobulinemia), D80.1 (nonfamilial hypogammaglobulinemia), D81.0 (severe combined immunodeficiency), Z20.5 (hepatitis A exposure), and B05.9 (measles). Which codes support coverage varies by payer and by MAC Local Coverage Determination, so verify against the current applicable LCD.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544392\",\"position\":6,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/hcpcs-code-j1460\\\/#faq-question-1786626544392\",\"name\":\"What is the difference between J1460 and other immune globulin J-codes?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"J1460 covers gamma globulin given by the intramuscular route only, billed per 1 cc. Other J-codes such as J1459, J1561, J1569, and J1572 cover immune globulin delivered intravenously or subcutaneously. Those codes usually carry higher doses per unit and brand-specific descriptors. Route is the primary differentiator, and using the wrong J-code for the route given is a common denial cause.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"HCPCS Code J1460: Gamastan Billing, Units & Modifiers","description":"J1460 bills IM gamma globulin at one unit per cc, almost always Gamastan. See units, NDC rules, ICD-10 pairings and denial fixes.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/","og_locale":"de_DE","og_type":"article","og_title":"HCPCS Code J1460: Gamastan Billing, Units & Modifiers","og_description":"J1460 bills IM gamma globulin at one unit per cc, almost always Gamastan. See units, NDC rules, ICD-10 pairings and denial fixes.","og_url":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/","og_site_name":"Pabau","article_publisher":"https:\/\/www.facebook.com\/Pabau\/","article_published_time":"2026-08-14T07:48:07+00:00","article_modified_time":"2026-08-14T07:48:10+00:00","og_image":[{"width":1200,"height":630,"url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j1460.webp","type":"image\/webp"}],"author":"Anja Dodevska","twitter_card":"summary_large_image","twitter_creator":"@pabaucrm","twitter_site":"@pabaucrm","twitter_misc":{"Verfasst von":"Anja Dodevska","Gesch\u00e4tzte Lesezeit":"14\u00a0Minuten"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#article","isPartOf":{"@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/"},"author":{"name":"Anja Dodevska","@id":"https:\/\/pabau.com\/de\/#\/schema\/person\/f2e43b25ed02313e8781f0f4507398b9"},"headline":"HCPCS Code J1460: Injection, gamma globulin, intramuscular, 1 cc","datePublished":"2026-08-14T07:48:07+00:00","dateModified":"2026-08-14T07:48:10+00:00","mainEntityOfPage":{"@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/"},"wordCount":2859,"publisher":{"@id":"https:\/\/pabau.com\/de\/#organization"},"image":{"@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j1460.webp","keywords":["billing codes","Drug Administration Billing","Hcpcs Billing","Hcpcs Codes","Immune Globulin Billing","Injectable drug codes","J Code Billing","J Codes","Medical Billing","Medicare Part B","Modifier Usage","posts-us","Prior authorization"],"articleSection":["Billing Codes","HCPCS"],"inLanguage":"de"},{"@type":["WebPage","FAQPage"],"@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/","url":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/","name":"HCPCS Code J1460: Gamastan Billing, Units & Modifiers","isPartOf":{"@id":"https:\/\/pabau.com\/de\/#website"},"primaryImageOfPage":{"@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#primaryimage"},"image":{"@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j1460.webp","datePublished":"2026-08-14T07:48:07+00:00","dateModified":"2026-08-14T07:48:10+00:00","description":"J1460 bills IM gamma globulin at one unit per cc, almost always Gamastan. See units, NDC rules, ICD-10 pairings and denial fixes.","mainEntity":[{"@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544387"},{"@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544388"},{"@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544389"},{"@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544390"},{"@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544391"},{"@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544392"}],"inLanguage":"de","potentialAction":[{"@type":"ReadAction","target":["https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/"]}]},{"@type":"ImageObject","inLanguage":"de","@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#primaryimage","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j1460.webp","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-j1460.webp","width":1200,"height":630},{"@type":"WebSite","@id":"https:\/\/pabau.com\/de\/#website","url":"https:\/\/pabau.com\/de\/","name":"Pabau","description":"Clinic Software for your Business | Go Paperless Today","publisher":{"@id":"https:\/\/pabau.com\/de\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/pabau.com\/de\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"de"},{"@type":"Organization","@id":"https:\/\/pabau.com\/de\/#organization","name":"Pabau","url":"https:\/\/pabau.com\/de\/","logo":{"@type":"ImageObject","inLanguage":"de","@id":"https:\/\/pabau.com\/de\/#\/schema\/logo\/image\/","url":"https:\/\/pabau.com\/wp-content\/uploads\/2022\/05\/Logo-4-e1654525062364.png","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2022\/05\/Logo-4-e1654525062364.png","width":736,"height":195,"caption":"Pabau"},"image":{"@id":"https:\/\/pabau.com\/de\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/Pabau\/","https:\/\/x.com\/pabaucrm","https:\/\/www.linkedin.com\/company\/pabau-ltd\/","https:\/\/www.instagram.com\/pabausoftware\/"],"description":"Pabau is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.","foundingDate":"2011-10-20","numberOfEmployees":{"@type":"QuantitativeValue","minValue":"201","maxValue":"500"}},{"@type":"Person","@id":"https:\/\/pabau.com\/de\/#\/schema\/person\/f2e43b25ed02313e8781f0f4507398b9","name":"Anja Dodevska","image":{"@type":"ImageObject","inLanguage":"de","@id":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg","caption":"Anja Dodevska"},"description":"Anja Dodevska writes about healthcare, dermatology, and the day-to-day realities of running a medical practice for Pabau. She enjoys breaking down complex topics into clear, accessible content and has a soft spot for the often-overlooked aspects of clinic life. When she's not writing, she's exploring cafes, walking her dog, or spending time with friends and family.","url":"https:\/\/pabau.com\/de\/blog\/author\/anja-dodevska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544387","position":1,"url":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544387","name":"What is HCPCS Code J1460 used for?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"HCPCS Code J1460 is used to bill an injection of gamma globulin administered by the intramuscular route, billed per 1 cc of product given. It covers Gamastan (immune globulin, human) for indications including primary immunodeficiency disorders, hepatitis A prophylaxis, and measles prophylaxis in susceptible patients.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544388","position":2,"url":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544388","name":"What drug is billed under J1460?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Gamastan (immune globulin, human), manufactured by Grifols, is the primary drug billed under J1460. It is the FDA-approved intramuscular immune globulin product tied to this code. Immune globulin products given intravenously or subcutaneously are billed under different HCPCS codes, not J1460.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544389","position":3,"url":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544389","name":"How many units of J1460 should I bill?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Bill one unit of J1460 for every 1 cc of gamma globulin administered. A 2 cc dose equals 2 units, and a 5 cc dose equals 5 units. Bill the exact volume documented in the clinical note. Never use the vial size or the dose in milligrams as the billing unit.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544390","position":4,"url":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544390","name":"Does J1460 require prior authorization?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Prior authorization requirements for J1460 vary by payer. Traditional Medicare Part B generally does not require it, but Medicare Advantage plans, Medicaid programs, and commercial insurers frequently do. Verify prior authorization requirements with the individual payer before administering Gamastan, so a retroactive denial cannot follow.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544391","position":5,"url":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544391","name":"What ICD-10 codes are used with J1460?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Common ICD-10-CM codes paired with J1460 include D80.0 (hereditary hypogammaglobulinemia), D80.1 (nonfamilial hypogammaglobulinemia), D81.0 (severe combined immunodeficiency), Z20.5 (hepatitis A exposure), and B05.9 (measles). Which codes support coverage varies by payer and by MAC Local Coverage Determination, so verify against the current applicable LCD.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544392","position":6,"url":"https:\/\/pabau.com\/de\/procedure-codes\/hcpcs-code-j1460\/#faq-question-1786626544392","name":"What is the difference between J1460 and other immune globulin J-codes?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"J1460 covers gamma globulin given by the intramuscular route only, billed per 1 cc. Other J-codes such as J1459, J1561, J1569, and J1572 cover immune globulin delivered intravenously or subcutaneously. Those codes usually carry higher doses per unit and brand-specific descriptors. Route is the primary differentiator, and using the wrong J-code for the route given is a common denial cause.","inLanguage":"de"},"inLanguage":"de"}]}},"yoast":{"focus_keyword":"HCPCS Code J1460","seo_title":"HCPCS Code J1460: Gamastan Billing, Units & Modifiers","meta_description":"J1460 bills IM gamma globulin at one unit per cc, almost always Gamastan. See units, NDC rules, ICD-10 pairings and denial fixes.","content_score":"60","is_cornerstone":"","related_keyphrases":[{"keyword":"immune globulin billing","score":72},{"keyword":"J1460 Medicare reimbursement","score":61},{"keyword":"J1460 fee schedule","score":61},{"keyword":"buy and bill injectable","score":61},{"keyword":"NDC to HCPCS crosswalk","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts\/179905","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/users\/83"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/comments?post=179905"}],"version-history":[{"count":3,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts\/179905\/revisions"}],"predecessor-version":[{"id":180150,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts\/179905\/revisions\/180150"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/media\/179904"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/media?parent=179905"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/categories?post=179905"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/tags?post=179905"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}