Hizentra coding information

You can download a printable version of the diagnosis and ICD-10-CM billing codes.

Hizentra coding information for PI and CIDP

Hizentra is covered under Medicare Part B for both PI and CIDP*

Medicare Part B icon

The convenience of self-infused Hizentra—covered under the same benefit category as IVIg.

  • Lower patient out-of-pocket costs than with Part D
    • Coverage includes infusion pump, ancillary supplies, medication, and nurse training
  • No prior authorization required
Hizentra Connect logo

For updated coverage and comprehensive support, call Hizentra ConnectSM
1-877-355-4447 Monday–Friday, 8 AM to 8 PM ET

*100% coverage for patients with Medicare Part B and a qualifying Medigap plan after Part B annual deductible is met.

Coverage of IVIg when administered in a clinical setting.

Chart notes must be up to date and include diagnostic criteria.

Hizentra Referral Form

Hizentra referral forms and patient support

Download Hizentra referral forms and find additional resources to support your patients throughout their treatment journeys

find answers to your questions

Find answers to your questions

More information about helping patients get started and stay on Hizentra may be found in our FAQs section

References: 1. National Center for Health Statistics (US Department of Health and Human Services) International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). 2021 Codes Tables and Index. https://www.cdc.gov/nchs/icd/icd10cm.htm. Accessed June 25, 2021. 2. 2021 CPT Code 96369. American Academy of Professional Coders website. https://www.aapc.com/codes/cpt-codes/96369. Accessed June 25, 2021. 3. Centers for Medicare and Medicaid Services (US Department of Health and Human Services). HCPCS Release and Code Sets. https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update. Accessed June 25, 2021. 4. 2021 CPT Code 96370. American Academy of Professional Coders website. https://www.aapc.com/codes/cpt-codes/96370. Accessed June 25, 2021. 5. 2021 CPT Code 96371. American Academy of Professional Coders website. https://www.aapc.com/codes/cpt-codes/96371. Accessed June 25, 2021. 6. 2021 HCPCS Code S9338. American Academy of Professional Coders website. https://www.aapc.com/codes/hcpcs-codes/S9338. Accessed June 25, 2021. 7. Centers for Medicare and Medicaid Services (US Department of Health and Human Services) Medicare Learning Network. Billing for Home Infusion Therapy Services. https://www.cms.gov/files/document/MM11880.pdf. Accessed June 25, 2021.
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