HCPCS drug code · CMS crosswalk
Humalog J-Code / HCPCS Code
In short
Humalog is billed under HCPCS J1817 — Insulin for administration through dme (i.e., insulin pump) per 50 units. One billing unit is 50 units. CMS's crosswalk lists 5 Humalog NDCs under this code.
Reference
- J1817
- Insulin for administration through dme (i.e., insulin pump) per 50 unitsBilling unit: 50 units
- Labelers
- A-S Medication Solutions; Eli Lilly and Company
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
Humalog units and claim line
Enter the dose given to get the J1817 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Humalog 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 |
|---|---|---|---|---|
| 00002-7510-01 | J1817 | Eli Lilly and Company | 10 | 20 |
| 00002-7510-17 | J1817 | Eli Lilly and Company | 3 | 6 |
| 00002-7516-59 | J1817 | Eli Lilly and Company | 5 × 3 | 30 |
| 00002-7533-01 | J1817 | Eli Lilly and Company | 3 | 6 |
| 50090-1375-00 | J1817 | A-S Medication Solutions | 10 | 20 |
Humalog: common questions
- What is the J-code for Humalog?
- Humalog is billed under HCPCS J1817 — Insulin for administration through dme (i.e., insulin pump) per 50 units. One billing unit is 50 units. CMS's crosswalk lists 5 Humalog NDCs under this code.
- How many J1817 billing units are in a package of Humalog?
- CMS lists 6 to 30 billing units per package, depending on the NDC, where one unit is 50 units. Units to report are based on the dose given, not the package.
- Is J1817 a CPT code?
- No. J1817 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.