In short

Insulin Lispro Kwikpen 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 Insulin Lispro Kwikpen NDC under this code.

J1817 code details

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 file
Payment limit per unit$3.116
Per50 units
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

Insulin Lispro Kwikpen 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.

Insulin Lispro Kwikpen 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.

Insulin Lispro Kwikpen NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
00002-8222-59J1817Eli Lilly and Company5 × 330

Insulin Lispro Kwikpen: common questions

What is the J-code for Insulin Lispro Kwikpen?
Insulin Lispro Kwikpen 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 Insulin Lispro Kwikpen NDC under this code.
How many J1817 billing units are in a package of Insulin Lispro Kwikpen?
CMS lists 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.

Related

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in