HCPCS J1817

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

HCPCS Information
HCPCS Crossover to NDC Codes

HCPCS Information

HCPCS Code: J1817: The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J1817 identifies the type of service or supply used while any of the 39 NDC codes below could be used to specify the exact drug used.
Short Description: Insulin for insulin pump use
Long Description: Insulin for administration through dme (i.e., insulin pump) per 50 units
Pricing Indicator: Drugs
Multiple Pricing Indicator: Not applicable as HCPCS priced under one methodology
Coverage Description: Carrier judgment
BETOS Type of Service: Drugs Administered through DME
Medicare Payment Limit: $3.24
Medicare Co-Insurance Percentage: 20.000%
HCPCS Classification: List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC	Proprietary Name	Non-Proprietary Name	Dosage Form	Route Name	Company Name	Status
0002-0213	Humulin R	Insulin Human	Injection, Solution	Parenteral	Eli Lilly And Company	ACTIVE
0002-7510	Humalog	Insulin Lispro	Injection, Solution	Intravenous; Subcutaneous	Eli Lilly And Company	ACTIVE
0002-7516	Humalog	Insulin Lispro	Injection, Solution	Intravenous; Subcutaneous	Eli Lilly And Company	ACTIVE
0002-7533	Humalog	Insulin Lispro	Injection, Solution	Intravenous; Subcutaneous	Eli Lilly And Company	ACTIVE
0002-7737	Insulin Lispro	Insulin Lispro	Injection, Solution	Intravenous; Subcutaneous	Eli Lilly And Company	ACTIVE
0002-7752	Insulin Lispro Junior KwikPen	Insulin Lispro	Injection, Solution	Subcutaneous	Eli Lilly And Company	ACTIVE
0002-8213	Humalog Tempo Pen	Insulin Lispro	Injection, Solution	Subcutaneous	Eli Lilly And Company	ACTIVE
0002-8215	Humulin R	Insulin Human	Injection, Solution	Parenteral	Eli Lilly And Company	ACTIVE
0002-8215	Humulin R				Eli Lilly And Company
0002-8222	Insulin Lispro KwikPen	Insulin Lispro	Injection, Solution	Intravenous; Subcutaneous	Eli Lilly And Company	ACTIVE
0002-8501	Humulin R U-500	Insulin Human	Injection, Solution	Subcutaneous	Eli Lilly And Company	ACTIVE
0002-8799	Humalog KwikPen	Insulin Lispro	Injection, Solution	Intravenous; Subcutaneous	Eli Lilly And Company	ACTIVE
0024-5924	Admelog	Insulin Lispro	Injection, Solution	Intravenous; Subcutaneous	Sanofi-aventis U.s. Llc	ACTIVE
0024-5925	Admelog	Insulin Lispro	Injection, Solution	Subcutaneous	Sanofi-aventis U.s. Llc	ACTIVE
0024-5926	Admelog	Insulin Lispro	Injection, Solution	Intravenous; Subcutaneous	Sanofi-aventis U.s. Llc	ACTIVE
0088-2500	Apidra	Insulin Glulisine	Injection, Solution	Intravenous; Subcutaneous	Sanofi-aventis U.s. Llc	ACTIVE
0088-2502	Apidra Solostar	Insulin Glulisine	Injection, Solution	Subcutaneous	Sanofi-aventis U.s. Llc	ACTIVE
0169-2100	Novolog	Insulin Aspart	Injection, Solution	Intravenous; Subcutaneous	Novo Nordisk	ACTIVE
0169-2101	Novolog	Insulin Aspart	Injection, Solution	Intravenous; Subcutaneous	Novo Nordisk	ACTIVE
0169-3201	Fiasp	Insulin Aspart Injection	Injection, Solution	Subcutaneous	Novo Nordisk	ACTIVE
0169-3303	Novolog	Insulin Aspart	Injection, Solution	Intravenous; Subcutaneous	Novo Nordisk	ACTIVE
0169-6339	Novolog	Insulin Aspart	Injection, Solution	Intravenous; Subcutaneous	Novo Nordisk	ACTIVE
0169-7501	Novolog	Insulin Aspart	Injection, Solution	Intravenous; Subcutaneous	Novo Nordisk	ACTIVE
50090-0352	Humulin N				A-s Medication Solutions	INACTIVATED
50090-0353	Humulin R	Insulin Human	Injection, Solution	Parenteral	A-s Medication Solutions	ACTIVE
50090-0497	Novolin R				A-s Medication Solutions
50090-0498	Novolin N				A-s Medication Solutions
50090-1375	Humalog	Insulin Lispro	Injection, Solution	Intravenous; Subcutaneous	A-s Medication Solutions	ACTIVE
50090-1664	Novolog	Insulin Aspart	Injection, Solution	Intravenous; Subcutaneous	A-s Medication Solutions	ACTIVE
50090-1678	Novolog	Insulin Aspart	Injection, Solution	Intravenous; Subcutaneous	A-s Medication Solutions	ACTIVE
50090-4956	Insulin Aspart	Insulin Aspart	Injection, Solution	Intravenous; Subcutaneous	A-s Medication Solutions	ACTIVE
50090-5391	Insulin Lispro	Insulin Lispro	Injection, Solution	Intravenous; Subcutaneous	A-s Medication Solutions	ACTIVE
54868-5108	Humalog				Physicians Total Care, Inc.	INACTIVATED
54868-5836	Humalog Cartridge				Physicians Total Care, Inc.	INACTIVATED
66733-773	Insulin Lispro				Imclone Llc
66733-822	Insulin Lispro KwikPen				Imclone Llc
73070-100	Insulin Aspart	Insulin Aspart	Injection, Solution	Intravenous; Subcutaneous	Novo Nordisk Pharma, Inc.	ACTIVE
73070-102	Insulin Aspart	Insulin Aspart	Injection, Solution	Intravenous; Subcutaneous	Novo Nordisk Pharma, Inc.	ACTIVE
73070-103	Insulin Aspart	Insulin Aspart	Injection, Solution	Intravenous; Subcutaneous	Novo Nordisk Pharma, Inc.	ACTIVE

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HCPCS Information

HCPCS Crossover to NDC Codes