HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

HCPCS Information

HCPCS Code: J3315
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 J3315 identifies the type of service or supply used while any of the 7 NDC codes below could be used to specify the exact drug used.
Short Description
Triptorelin pamoate
Long Description
Injection, triptorelin pamoate, 3.75 mg
Pricing Indicator
Drugs
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Special coverage instructions apply
BETOS Type of Service
Other drugs
Medicare Payment Limit
$491.90
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
0023-5902Trelstar Allergan, Inc.
0023-5904Trelstar Allergan, Inc.
0023-5906Trelstar Allergan, Inc.
24338-150Triptodur TriptorelinKitAzurity Pharmaceuticals, Inc.ACTIVE
74676-5902Trelstar Triptorelin PamoateKitVerity Pharmaceuticals Inc.ACTIVE
74676-5904Trelstar Triptorelin PamoateKitVerity Pharmaceuticals Inc.ACTIVE
74676-5906Trelstar Triptorelin PamoateKitVerity Pharmaceuticals Inc.ACTIVE