HCPCS code J1817 — Insulin for insulin pump use.
Status: Active.
Effective Jan 1, 2003.
Source: CMS HCPCS Level II.
J1817
ActiveInsulin for insulin pump use
Insulin for administration through dme (i.e., insulin pump) per 50 units
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2003
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
Drug class:
Insulin
MUE — Medically Unlikely Edits
Maximum units of J1817 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 270 |
| Outpatient Hospital | 0 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00002-0213-01 | Humilin R |
| 00002-7510-01 | Humalog |
| 00002-7510-17 | Humalog |
| 00002-7516-59 | Humalog |
| 00002-7533-01 | Humalog |
| 00002-7737-01 | Insulin Lispro |
| 00002-7752-05 | Insulin Lispro Junior Kwikpen |
| 00002-8213-05 | Humalog Tempo Pen |
| 00002-8215-01 | Humulin R |
| 00002-8215-17 | Humulin R |
| 00002-8222-59 | Insulin Lispro Kwikpen |
| 00002-8501-01 | Humulin R |
| 00002-8799-59 | Humalog Kwikpen |
| 00024-5924-10 | Admelog |
| 00024-5925-05 | Admelog |
| 00024-5926-05 | Admelog |
| 00088-2500-33 | Apidra |
| 00169-2100-11 | insulin aspart |
| 00169-2101-25 | insulin aspart |
| 00169-3303-12 | Novolog Penfill |