HCPCS drug code · CMS crosswalk
Fensolvi J-Code / HCPCS Code
In short
Fensolvi is billed under HCPCS J1951 — Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg. One billing unit is 0.25 mg. CMS's crosswalk lists 2 Fensolvi NDCs under this code.
Reference
- J1951
- Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mgBilling unit: 0.25 mg
- Labelers
- Tolmar Inc.
Medicare Part B payment limit
CMS ASP fileEffective 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
Fensolvi units and claim line
Enter the dose given to get the J1951 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Fensolvi 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 |
|---|---|---|---|---|
| 62935-0153-50 | J1951 | Tolmar Inc. | 1 | 180 |
| 62935-0163-60 | J1951 | Tolmar Inc. | 1 | 180 |
Fensolvi: common questions
- What is the J-code for Fensolvi?
- Fensolvi is billed under HCPCS J1951 — Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg. One billing unit is 0.25 mg. CMS's crosswalk lists 2 Fensolvi NDCs under this code.
- How many J1951 billing units are in a package of Fensolvi?
- CMS lists 180 billing units per package, depending on the NDC, where one unit is 0.25 mg. Units to report are based on the dose given, not the package.
- Is J1951 a CPT code?
- No. J1951 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
- J1952Leuprolide injectable, camcevi, 1 mg
- J1954Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg
- J9003Leuprolide injectable (camcevi etm), 1 mg
- J9217Leuprolide acetate (for depot suspension), 7.5 mg
- J9218Leuprolide acetate, per 1 mg
- J9219Leuprolide acetate implant, 65 mg