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HCPCS J1817

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

Table of Contents

  1. HCPCS Information
  2. 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 18 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
$3.13
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
0002-7510Humalog Insulin LisproInjection, SolutionIntravenous; SubcutaneousEli Lilly And CompanyACTIVE
0002-7533Humalog Eli Lilly And Company
0002-7737Insulin Lispro Insulin LisproInjection, SolutionIntravenous; SubcutaneousEli Lilly And CompanyACTIVE
0002-8501Humulin R U-500Insulin HumanInjection, SolutionSubcutaneousEli Lilly And CompanyACTIVE
0024-5924Admelog Insulin LisproInjection, SolutionIntravenous; SubcutaneousSanofi-aventis U.s. LlcACTIVE
0024-5925Admelog Insulin LisproInjection, SolutionSubcutaneousSanofi-aventis U.s. LlcACTIVE
0024-5926Admelog Insulin LisproInjection, SolutionIntravenous; SubcutaneousSanofi-aventis U.s. LlcACTIVE
0088-2500Apidra Insulin GlulisineInjection, SolutionIntravenous; SubcutaneousSanofi-aventis U.s. LlcACTIVE
0088-2502Apidra Solostar Insulin GlulisineInjection, SolutionSubcutaneousSanofi-aventis U.s. LlcACTIVE
0169-3201Fiasp Insulin Aspart InjectionInjection, SolutionSubcutaneousNovo NordiskACTIVE
0169-7501Novolog Insulin AspartInjection, SolutionIntravenous; SubcutaneousNovo NordiskACTIVE
54868-5108Humalog Physicians Total Care, Inc.INACTIVATED
54868-5836Humalog CartridgePhysicians Total Care, Inc.INACTIVATED
66733-773Insulin Lispro Imclone Llc
66733-822Insulin Lispro KwikPenImclone Llc
73070-100Insulin Aspart Insulin AspartInjection, SolutionIntravenous; SubcutaneousNovo Nordisk Pharma, Inc.ACTIVE
73070-102Insulin Aspart Insulin AspartInjection, SolutionIntravenous; SubcutaneousNovo Nordisk Pharma, Inc.ACTIVE
73070-103Insulin Aspart Insulin AspartInjection, SolutionIntravenous; SubcutaneousNovo Nordisk Pharma, Inc.ACTIVE