HCPCS drug code · CMS crosswalk
Gvoke Vialdx J-Code / HCPCS Code
In short
Gvoke Vialdx is billed under HCPCS J1612 — Injection, glucagon (gvoke), 0.01 mg. One billing unit is 0.01 mg. CMS's crosswalk lists 2 Gvoke Vialdx NDCs under this code.
Reference
- J1612
- Injection, glucagon (gvoke), 0.01 mgBilling unit: 0.01 mg
- Labelers
- American Regent, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$1.799
Per0.01 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
Gvoke Vialdx units and claim line
Enter the dose given to get the J1612 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Gvoke Vialdx 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 |
|---|---|---|---|---|
| 00517-2901-01 | J1612 | American Regent, Inc. | 0.2 | 100 |
| 00517-2901-10 | J1612 | American Regent, Inc. | 10 × 0.2 | 1000 |
Gvoke Vialdx: common questions
- What is the J-code for Gvoke Vialdx?
- Gvoke Vialdx is billed under HCPCS J1612 — Injection, glucagon (gvoke), 0.01 mg. One billing unit is 0.01 mg. CMS's crosswalk lists 2 Gvoke Vialdx NDCs under this code.
- How many J1612 billing units are in a package of Gvoke Vialdx?
- CMS lists 100 to 1,000 billing units per package, depending on the NDC, where one unit is 0.01 mg. Units to report are based on the dose given, not the package.
- Is J1612 a CPT code?
- No. J1612 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.