HCPCS drug code · CMS crosswalk
Eligard J-Code / HCPCS Code
In short
Eligard is billed under HCPCS J9217 — Leuprolide acetate (for depot suspension), 7.5 mg. One billing unit is 7.5 mg. CMS's crosswalk lists 8 Eligard NDCs under this code.
Reference
- J9217
- Leuprolide acetate (for depot suspension), 7.5 mgBilling unit: 7.5 mg
- Labelers
- Tolmar Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$188.849
Per7.5 mg
Coinsurance20%
Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Eligard units and claim line
Enter the dose given to get the J9217 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Eligard NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 62935-0223-05 | J9217 | Tolmar Inc. | 1 | 3 |
| 62935-0227-10 | J9217 | Tolmar Inc. | 1 | 3 |
| 62935-0303-30 | J9217 | Tolmar Inc. | 1 | 4 |
| 62935-0306-40 | J9217 | Tolmar Inc. | 0.5 | 4 |
| 62935-0453-45 | J9217 | Tolmar Inc. | 1 | 6 |
| 62935-0461-50 | J9217 | Tolmar Inc. | 1 | 6 |
| 62935-0753-75 | J9217 | Tolmar Inc. | 1 | 1 |
| 62935-0756-80 | J9217 | Tolmar Inc. | 1 | 1 |
Eligard: common questions
- What is the J-code for Eligard?
- Eligard is billed under HCPCS J9217 — Leuprolide acetate (for depot suspension), 7.5 mg. One billing unit is 7.5 mg. CMS's crosswalk lists 8 Eligard NDCs under this code.
- How many J9217 billing units are in a package of Eligard?
- CMS lists 1 to 6 billing units per package, depending on the NDC, where one unit is 7.5 mg. Units to report are based on the dose given, not the package.
- Is J9217 a CPT code?
- No. J9217 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.
Other codes for the same drug
- J1950Injection, leuprolide acetate (for depot suspension), per 3.75 mg
- J1951Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg
- J1952Leuprolide injectable, camcevi, 1 mg
- J1954Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg
- J9003Leuprolide injectable (camcevi etm), 1 mg
- J9218Leuprolide acetate, per 1 mg
- J9219Leuprolide acetate implant, 65 mg