Immune Globulins
J5 · Effective Oct 1, 2015
5 active Medicare policies list J1560, and 3 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J15 · Effective Apr 1, 2020
J5 · Effective Apr 9, 2026
National · Effective Apr 16, 2026
3 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Codes labeled “Inferred from policy title” are not listed in the policy document; Backwork attached them because the policy title names the drug.
| Policy | Effective | Status of J1560 |
|---|---|---|
| Immune Globulin Intramuscular Injection (GamaSTAN)Effective 03/01/2019 - 10/31/2019 | Mar 1, 2019 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Immune Globulin Intramuscular Injection (GamaSTAN)Effective 06/01/2017 - 02/28/2019 | Jun 1, 2017 | Prior auth requiredInferred from policy title |
| Immune Globulin Intramuscular Injection (GamaSTAN)Effective 11/01/2019 - 10/31/2020 | Nov 1, 2019 | Prior auth requiredInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
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