In short

Leuprolide Acetate is billed under HCPCS J1954 — Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg. One billing unit is 7.5 mg. CMS's crosswalk lists 1 Leuprolide Acetate NDC under this code.

J1954 code details

Reference

J1954
Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mgBilling unit: 7.5 mg
Labelers
Cipla USA, Inc.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$683.86
Per7.5 mg
Coinsurance13.851%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Leuprolide Acetate units and claim line

Enter the dose given to get the J1954 units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Leuprolide 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.

Leuprolide Acetate NDCs in the CMS ASP crosswalk
NDC (11-digit)HCPCSLabelerPackageBilling units per package
69097-0909-50J1954Cipla USA, Inc.13

Leuprolide Acetate: common questions

What is the J-code for Leuprolide Acetate?
Leuprolide Acetate is billed under HCPCS J1954 — Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg. One billing unit is 7.5 mg. CMS's crosswalk lists 1 Leuprolide Acetate NDC under this code.
How many J1954 billing units are in a package of Leuprolide Acetate?
CMS lists 3 billing units per package, depending on the NDC, where one unit is 7.5 mg. Units to report are based on the dose given, not the package.
Is J1954 a CPT code?
No. J1954 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