J1817

Code

J1817

Description

Insulin for administration through dme (i.e., insulin pump) per 50 units

CMS HCPCS quarterly update

• 00002-0213-01 Humilin R, Eli Lilly and Company. Billable units per 11-digit NDC: 6.
• 00002-7510-01 Humalog, Eli Lilly and Company. Billable units per 11-digit NDC: 20.
• 00002-7510-17 Humalog, Eli Lilly and Company. Billable units per 11-digit NDC: 6.
• 00002-7516-59 Humalog, Eli Lilly and Company. Billable units per 11-digit NDC: 30.
• 00002-7533-01 Humalog, Eli Lilly and Company. Billable units per 11-digit NDC: 6.
• 00002-7737-01 Insulin Lispro, Eli Lilly and Company. Billable units per 11-digit NDC: 20.
• 00002-7752-05 Insulin Lispro Junior Kwikpen, Eli Lilly and Company. Billable units per 11-digit NDC: 30.
• 00002-8213-05 Humalog Tempo Pen, Eli Lilly and Company. Billable units per 11-digit NDC: 30.
• 00002-8215-01 Humulin R, Eli Lilly and Company. Billable units per 11-digit NDC: 20.
• 00002-8215-17 Humulin R, Eli Lilly and Company. Billable units per 11-digit NDC: 6.
• 00002-8222-59 Insulin Lispro Kwikpen, Eli Lilly and Company. Billable units per 11-digit NDC: 30.
• 00002-8501-01 Humulin R, Eli Lilly and Company. Billable units per 11-digit NDC: 200.
• 00002-8799-59 Humalog Kwikpen, Eli Lilly and Company. Billable units per 11-digit NDC: 30.
• 00024-5924-10 Admelog, Sanofi-Aventis U.S. LLC. Billable units per 11-digit NDC: 20.
• 00024-5925-05 Admelog, Sanofi-Aventis U.S. LLC. Billable units per 11-digit NDC: 30.
• 00024-5926-05 Admelog, Sanofi-Aventis U.S. LLC. Billable units per 11-digit NDC: 6.
• 00088-2500-33 Apidra, Sanofi-Aventis U.S. LLC. Billable units per 11-digit NDC: 20.
• 00169-2100-11 insulin aspart, Novo Nordisk, Inc. Billable units per 11-digit NDC: 20.
• 00169-2101-25 insulin aspart, Novo Nordisk, Inc. Billable units per 11-digit NDC: 30.
• 00169-3303-12 Novolog Penfill, Novo Nordisk, Inc. Billable units per 11-digit NDC: 30.
• 00169-6339-10 Novolog Flexpen, Novo Nordisk, Inc. Billable units per 11-digit NDC: 30.
• 00169-7501-11 Novolog, Novo Nordisk, Inc. Billable units per 11-digit NDC: 20.
• 50090-0352-00 Humulin N, A-S Medication Solutions. Billable units per 11-digit NDC: 20.
• 50090-0353-00 Humulin R, A-S Medication Solutions. Billable units per 11-digit NDC: 20.
• 50090-0497-00 Novolin R, A-S Medication Solutions. Billable units per 11-digit NDC: 20.
• 50090-0498-00 Novolin N, A-S Medication Solutions. Billable units per 11-digit NDC: 20.
• 50090-1375-00 Humalog, A-S Medication Solutions. Billable units per 11-digit NDC: 20.
• 50090-1664-00 Novolog, A-S Medication Solutions. Billable units per 11-digit NDC: 20.
• 50090-1678-00 Novolog Flexpen, A-S Medication Solutions. Billable units per 11-digit NDC: 30.
• 50090-4956-00 Insulin Aspart, A-S Medication Solutions. Billable units per 11-digit NDC: 30.
• 50090-5391-00 Insulin Lispro, A-S Medication Solutions. Billable units per 11-digit NDC: 20.

Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.