In short

J3315 is the HCPCS Level II code for injection, triptorelin pamoate, 3.75 mg. CMS assigns NDCs for Trelstar to it. One billing unit is 3.75 mg. The Medicare Part B payment limit is $467.059 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ3315
Billing unit3.75 mg
Descriptor
Injection, triptorelin pamoate, 3.75 mg
Short descriptor
Triptorelin pamoate
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2003

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Medicare Part B payment limit

CMS ASP file
Payment 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

Units and claim line

Units = dose given ÷ 3.75 mg. For example, 375 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

NDCs billed under J3315

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 3 NDCs to J3315 for Trelstar. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J3315 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Trelstar74676-5902-01Verity Pharmaceuticals Inc.11
Trelstar74676-5904-01Verity Pharmaceuticals Inc.13
Trelstar74676-5906-01Verity Pharmaceuticals Inc.16

J3315: common questions

Is J3315 a CPT code?
No. J3315 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 J3315?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 3 NDCs under J3315, for Trelstar. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J3315?
$467.059 per 3.75 mg, 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.
What is one billing unit of J3315?
One unit of J3315 is 3.75 mg, as stated in the code's descriptor. Units to report = dose given ÷ 3.75 mg. J-code billing units.

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