HCPCS drug code · CMS crosswalk
Lanreotide Acetate J-Code / HCPCS Code
In short
Lanreotide Acetate is billed under HCPCS J1930 — Injection, lanreotide, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Lanreotide Acetate NDC under this code.
Reference
- J1930
- Injection, lanreotide, 1 mgBilling unit: 1 mg
- Labelers
- Cipla USA, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$41.688
Per1 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
Lanreotide Acetate units and claim line
Enter the dose given to get the J1930 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Lanreotide Acetate 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 |
|---|---|---|---|---|
| 69097-0906-67 | J1930 | Cipla USA, Inc. | 0.5 | 120 |
Lanreotide Acetate: common questions
- What is the J-code for Lanreotide Acetate?
- Lanreotide Acetate is billed under HCPCS J1930 — Injection, lanreotide, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 1 Lanreotide Acetate NDC under this code.
- How many J1930 billing units are in a package of Lanreotide Acetate?
- CMS lists 120 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
- Is J1930 a CPT code?
- No. J1930 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.