HCPCS Level II drug code
J1817 — Insulin for administration through dme (i.e., insulin pump) per 50 units
In short
J1817 is the HCPCS Level II code for insulin for administration through dme (i.e., insulin pump) per 50 units. CMS assigns NDCs for Admelog, Apidra, Humalog and Humalog Kwikpen and 13 more to it. The Medicare Part B payment limit is $3.116 per unit (October 1, 2026 through December 31, 2026).
Code
CMS HCPCS file- Descriptor
- Insulin for administration through dme (i.e., insulin pump) per 50 units
- Short descriptor
- Insulin for insulin pump use
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jan 1, 2003
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
Units and claim line
Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
NDCs billed under J1817
CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 31 NDCs to J1817 for Admelog, Apidra, Humalog, Humalog Kwikpen, Humalog Tempo Pen, Humilin R, Humulin N, Humulin R, insulin aspart, Insulin Lispro, Insulin Lispro Junior Kwikpen, Insulin Lispro Kwikpen, Novolin N, Novolin R, Novolog, Novolog Flexpen and Novolog Penfill. Billing units per package are CMS’s figures for this code’s unit.
| Drug | NDC (11-digit) | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| Admelog | 00024-5924-10 | Sanofi-Aventis U.S. LLC | 10 | 20 |
| Admelog | 00024-5925-05 | Sanofi-Aventis U.S. LLC | 5 × 3 | 30 |
| Admelog | 00024-5926-05 | Sanofi-Aventis U.S. LLC | 3 | 6 |
| Apidra | 00088-2500-33 | Sanofi-Aventis U.S. LLC | 10 | 20 |
| Humalog | 00002-7510-01 | Eli Lilly and Company | 10 | 20 |
| Humalog | 00002-7510-17 | Eli Lilly and Company | 3 | 6 |
| Humalog | 00002-7516-59 | Eli Lilly and Company | 5 × 3 | 30 |
| Humalog | 00002-7533-01 | Eli Lilly and Company | 3 | 6 |
| Humalog | 50090-1375-00 | A-S Medication Solutions | 10 | 20 |
| Humalog Kwikpen | 00002-8799-59 | Eli Lilly and Company | 5 × 3 | 30 |
| Humalog Tempo Pen | 00002-8213-05 | Eli Lilly and Company | 5 × 3 | 30 |
| Humilin R | 00002-0213-01 | Eli Lilly and Company | 3 | 6 |
| Humulin N | 50090-0352-00 | A-S Medication Solutions | 10 | 20 |
| Humulin R | 00002-8215-01 | Eli Lilly and Company | 10 | 20 |
| Humulin R | 00002-8215-17 | Eli Lilly and Company | 3 | 6 |
| Humulin R | 00002-8501-01 | Eli Lilly and Company | 20 | 200 |
| Humulin R | 50090-0353-00 | A-S Medication Solutions | 10 | 20 |
| insulin aspart | 00169-2100-11 | Novo Nordisk, Inc | 10 | 20 |
| insulin aspart | 00169-2101-25 | Novo Nordisk, Inc | 5 × 3 | 30 |
| Insulin Aspart | 50090-4956-00 | A-S Medication Solutions | 5 × 3 | 30 |
| Insulin Lispro | 00002-7737-01 | Eli Lilly and Company | 10 | 20 |
| Insulin Lispro | 50090-5391-00 | A-S Medication Solutions | 10 | 20 |
| Insulin Lispro Junior Kwikpen | 00002-7752-05 | Eli Lilly and Company | 5 × 3 | 30 |
| Insulin Lispro Kwikpen | 00002-8222-59 | Eli Lilly and Company | 5 × 3 | 30 |
| Novolin N | 50090-0498-00 | A-S Medication Solutions | 10 | 20 |
| Novolin R | 50090-0497-00 | A-S Medication Solutions | 10 | 20 |
| Novolog | 00169-7501-11 | Novo Nordisk, Inc | 10 | 20 |
| Novolog | 50090-1664-00 | A-S Medication Solutions | 10 | 20 |
| Novolog Flexpen | 00169-6339-10 | Novo Nordisk, Inc | 5 × 3 | 30 |
| Novolog Flexpen | 50090-1678-00 | A-S Medication Solutions | 5 × 3 | 30 |
| Novolog Penfill | 00169-3303-12 | Novo Nordisk, Inc | 5 × 3 | 30 |
J1817: common questions
- Is J1817 a CPT code?
- No. J1817 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
- What NDCs are billed under J1817?
- CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 31 NDCs under J1817, for Admelog, Apidra, Humalog, Humalog Kwikpen, Humalog Tempo Pen and Humilin R and 11 more. The table on this page shows each one with its billing units per package.
- What is the Medicare payment limit for J1817?
- $3.116 per 50 units, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.