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HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg

Table of Contents

  1. HCPCS Information
  2. HCPCS Crossover to NDC Codes

HCPCS Information

HCPCS Code: J9217
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 J9217 identifies the type of service or supply used while any of the 13 NDC codes below could be used to specify the exact drug used.
Short Description
Leuprolide acetate suspnsion
Long Description
Leuprolide acetate (for depot suspension), 7.5 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
Chemotherapy
Medicare Payment Limit
$155.42
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
0074-3346Lupron Depot Leuprolide AcetateKitAbbvie Inc.ACTIVE
0074-3473Lupron Depot Leuprolide AcetateKitAbbvie Inc.ACTIVE
0074-3642Lupron Depot Leuprolide AcetateKitAbbvie Inc.ACTIVE
0074-3683Lupron Depot Leuprolide AcetateKitAbbvie Inc.ACTIVE
62935-223Eligard Leuprolide AcetateKitSubcutaneousTolmar Inc.ACTIVE
62935-227Eligard Leuprolide AcetateInjection, Suspension, Extended ReleaseSubcutaneousTolmar Inc.ACTIVE
62935-303Eligard Leuprolide AcetateKitSubcutaneousTolmar Inc.ACTIVE
62935-306Eligard Leuprolide AcetateInjection, Suspension, Extended ReleaseSubcutaneousTolmar Inc.ACTIVE
62935-453Eligard Leuprolide AcetateKitSubcutaneousTolmar Inc.ACTIVE
62935-461Eligard Leuprolide AcetateInjection, Suspension, Extended ReleaseSubcutaneousTolmar Inc.ACTIVE
62935-753Eligard Leuprolide AcetateKitSubcutaneousTolmar Inc.ACTIVE
62935-756Eligard Leuprolide AcetateInjection, Suspension, Extended ReleaseSubcutaneousTolmar Inc.ACTIVE
69097-909Leuprolide Acetate Depot Leuprolide AcetateKitCipla Usa Inc.ACTIVE