HCPCS drug code · CMS crosswalk
Trelstar J-Code / HCPCS Code
In short
Trelstar is billed under HCPCS J3315 — Injection, triptorelin pamoate, 3.75 mg. One billing unit is 3.75 mg. CMS's crosswalk lists 3 Trelstar NDCs under this code.
Reference
- J3315
- Injection, triptorelin pamoate, 3.75 mgBilling unit: 3.75 mg
- Labelers
- Verity Pharmaceuticals Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$467.059
Per3.75 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
Trelstar units and claim line
Enter the dose given to get the J3315 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Trelstar 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 |
|---|---|---|---|---|
| 74676-5902-01 | J3315 | Verity Pharmaceuticals Inc. | 1 | 1 |
| 74676-5904-01 | J3315 | Verity Pharmaceuticals Inc. | 1 | 3 |
| 74676-5906-01 | J3315 | Verity Pharmaceuticals Inc. | 1 | 6 |
Trelstar: common questions
- What is the J-code for Trelstar?
- Trelstar is billed under HCPCS J3315 — Injection, triptorelin pamoate, 3.75 mg. One billing unit is 3.75 mg. CMS's crosswalk lists 3 Trelstar NDCs under this code.
- How many J3315 billing units are in a package of Trelstar?
- CMS lists 1 to 6 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.
- Is J3315 a CPT code?
- No. J3315 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.