HCPCS drug code · CMS crosswalk
Humilin R J-Code / HCPCS Code
In short
Humilin R 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 1 Humilin R NDC under this code.
Reference
- J1817
- Insulin for administration through dme (i.e., insulin pump) per 50 unitsBilling unit: 50 units
- Labelers
- 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
Humilin R 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.
Humilin R 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 |
|---|---|---|---|---|
| 00002-0213-01 | J1817 | Eli Lilly and Company | 3 | 6 |
Humilin R: common questions
- What is the J-code for Humilin R?
- Humilin R 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 1 Humilin R NDC under this code.
- How many J1817 billing units are in a package of Humilin R?
- CMS lists 6 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.