HCPCS drug code · CMS crosswalk
Lupron Depot J-Code / HCPCS Code
In short
CMS assigns Lupron Depot NDCs to 2 HCPCS codes: J1950 (per 3.75 mg), J9217 (per 7.5 mg). Which one applies depends on the product; the table lists each NDC with its code.
Reference
- J1950
- Injection, leuprolide acetate (for depot suspension), per 3.75 mgBilling unit: 3.75 mg
- J9217
- Leuprolide acetate (for depot suspension), 7.5 mgBilling unit: 7.5 mg
- Labelers
- AbbVie Inc.
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. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
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
Lupron Depot units and claim line
Enter the dose given to get the J1950 units and the NDC line for the CMS-1500 and the 837P. This builds the J1950 line; use the code page for J9217.
Enter the dose given to build the claim line.
Lupron Depot 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 |
|---|---|---|---|---|
| 00074-2108-03 | J1950 | AbbVie Inc. | 1 | 2 |
| 00074-2282-03 | J1950 | AbbVie Inc. | 1 | 3 |
| 00074-2440-03 | J1950 | AbbVie Inc. | 1 | 4 |
| 00074-3575-01 | J1950 | AbbVie Inc. | 1 | 12 |
| 00074-3641-03 | J1950 | AbbVie Inc. | 1 | 1 |
| 00074-3663-03 | J1950 | AbbVie Inc. | 1 | 3 |
| 00074-3779-03 | J1950 | AbbVie Inc. | 1 | 3 |
| 00074-9694-03 | J1950 | AbbVie Inc. | 1 | 8 |
| 00074-3346-03 | J9217 | AbbVie Inc. | 1 | 3 |
| 00074-3346-55 | J9217 | AbbVie Inc. | 1 | 3 |
| 00074-3473-03 | J9217 | AbbVie Inc. | 1 | 6 |
| 00074-3473-55 | J9217 | AbbVie Inc. | 1 | 6 |
| 00074-3642-03 | J9217 | AbbVie Inc. | 1 | 1 |
| 00074-3642-55 | J9217 | AbbVie Inc. | 1 | 1 |
| 00074-3683-03 | J9217 | AbbVie Inc. | 1 | 4 |
| 00074-3683-55 | J9217 | AbbVie Inc. | 1 | 4 |
Lupron Depot: common questions
- What is the J-code for Lupron Depot?
- CMS assigns Lupron Depot NDCs to 2 HCPCS codes: J1950 (per 3.75 mg), J9217 (per 7.5 mg). Which one applies depends on the product; the table lists each NDC with its code.
- How many J1950 billing units are in a package of Lupron Depot?
- CMS lists 1 to 12 billing units per package, depending on the NDC, where one unit is 3.75 mg. Units to report are based on the dose given, not the package.
- How many J9217 billing units are in a package of Lupron Depot?
- CMS lists 1 to 6 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 J1950 a CPT code?
- No. J1950 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.
Other codes for the same drug
- J1951Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg
- J1952Leuprolide injectable, camcevi, 1 mg
- J1954Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg
- J9003Leuprolide injectable (camcevi etm), 1 mg
- J9218Leuprolide acetate, per 1 mg
- J9219Leuprolide acetate implant, 65 mg