Code intelligence

J1561 reimbursement alerts

Policy changes, MAC LCD updates, and CMS guidance matched to code J1561.

Elevated code riskView HCPCS detail

Signal breakdown

9 shown · 9 total in platform

Risk: Elevated

Critical

High

22%

Routine

78%

Low

New this month

—

alerts added in last 30 days

Effective soon

—

no upcoming deadlines

Proposed LCD DL33794: External Infusion Pumps — CGS

Policy LCD-DL33794 · DME

High

New LCD for External Infusion Pumps may affect billing compliance.

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LCD L35891: Intravenous Immune Globulin — CGS

Policy LCD-L35891 · Hematology

Routine

New LCD for Immune Globulin impacts billing from 04/02/2026.

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LCD L38268: Immune Thrombocytopenia (ITP) Therapy — CGS

Policy LCD-L38268 · Hematology

Routine

New LCD for ITP effective March 2026 impacts billing practices.

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LCD L34074: Immune Globulin Intravenous (IVIg) — Noridian

Policy LCD-L34074 · Neurology

Routine

Key billing updates for IVIg reimbursement by Noridian.

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LCD L34314: Immune Globulin Intravenous (IVIg) — Noridian

Policy LCD-L34314 · Hematology

Routine

Prepare for changes in IVIg billing practices and compliance.

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LCD L34771: Immune Globulins — WPS

Policy LCD-L34771 · Outpatient

Routine

New LCD for Immune Globulins impacts billing structure.

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Proposed LCD DL39314: Off-Label Use of Intravenous Immune Globulin (IVIG) — NGS

Policy LCD-DL39314 · Allergy/Immunology

High

Impact of off-label IVIG use on Medicare billing.

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LCD L33610: Intravenous Immune Globulin — DME MAC

Policy LCD-L33610 · DME

Routine

DME MAC Final LCD for home IVIG coverage effective July 1, 2026.

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LCD L39314: Off-Label Use of Intravenous Immune Globulin (IVIG) — NGS

Policy LCD-L39314 · Allergy/Immunology

Routine

New LCD impacts IVIG billing practices for off-label uses.

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