No. J9217 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.

What NDCs are billed under J9217?

CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 16 NDCs under J9217, for Eligard and Lupron Depot. The table on this page shows each one with its billing units per package.

What is the Medicare payment limit for J9217?

$188.849 per 7.5 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 J9217?

One unit of J9217 is 7.5 mg, as stated in the code's descriptor. Units to report = dose given ÷ 7.5 mg.

J9217 J-Code: Eligard, Lupron Depot (leuprolide acetate)

In short

J9217 is the HCPCS Level II code for leuprolide acetate (for depot suspension), 7.5 mg. CMS assigns NDCs for Eligard and Lupron Depot to it. One billing unit is 7.5 mg. The Medicare Part B payment limit is $188.849 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file

HCPCS codeJ9217

Billing unit7.5 mg

Descriptor: Leuprolide acetate (for depot suspension), 7.5 mg
Short descriptor: Leuprolide acetate suspnsion
Code set: HCPCS Level II, maintained by CMS
Effective: Jan 1, 1997

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$188.849

Per7.5 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 ÷ 7.5 mg. For example, 750 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Dose given (mg)

HCPCS units (1 unit = 7.5 mg)

Modifier

NDC (11-digit)

NDC unit qualifier

NDC quantity

Enter the dose given to build the claim line.

NDCs billed under J9217

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 16 NDCs to J9217 for Eligard and Lupron Depot. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J9217 in the CMS ASP crosswalk
Drug	NDC (11-digit)	Labeler	Package	Billing units per package
Eligard	62935-0223-05	Tolmar Inc.	1	3
Eligard	62935-0227-10	Tolmar Inc.	1	3
Eligard	62935-0303-30	Tolmar Inc.	1	4
Eligard	62935-0306-40	Tolmar Inc.	0.5	4
Eligard	62935-0453-45	Tolmar Inc.	1	6
Eligard	62935-0461-50	Tolmar Inc.	1	6
Eligard	62935-0753-75	Tolmar Inc.	1	1
Eligard	62935-0756-80	Tolmar Inc.	1	1
Lupron Depot	00074-3346-03	AbbVie Inc.	1	3
Lupron Depot	00074-3346-55	AbbVie Inc.	1	3
Lupron Depot	00074-3473-03	AbbVie Inc.	1	6
Lupron Depot	00074-3473-55	AbbVie Inc.	1	6
Lupron Depot	00074-3642-03	AbbVie Inc.	1	1
Lupron Depot	00074-3642-55	AbbVie Inc.	1	1
Lupron Depot	00074-3683-03	AbbVie Inc.	1	4
Lupron Depot	00074-3683-55	AbbVie Inc.	1	4

J9217: common questions

Is J9217 a CPT code?: No. J9217 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 J9217?: CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 16 NDCs under J9217, for Eligard and Lupron Depot. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J9217?: $188.849 per 7.5 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 J9217?: One unit of J9217 is 7.5 mg, as stated in the code's descriptor. Units to report = dose given ÷ 7.5 mg. J-code billing units.

J9217 — Leuprolide acetate (for depot suspension), 7.5 mg