J1813 HCPCS - INSULIN (LYUMJEV) FOR ADMINISTRATION THROUGH DME (I.E., INSULIN PUMP) PER 50 UNITS

Code Information

HCPCS Code: J1813
Sequence Number: 0010
Short Description: Lyumjev for insulin pump use
Long Description: Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units
Date Added: 7/1/2023
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2024
Classification: Drugs Administered Other Than Oral Method, Chemotherapy Drugs
Coding System: HCPCS

Pricing Indicator Code:
- 51 - Drugs
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: C - Carrier judgment
ASC Payment Group Effective Date: 1/1/2024

Field Name	Field Value
Healthcare Common Procedure Coding System Code	J1813
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units
HCPCS Short Description	Lyumjev for insulin pump use
HCPCS Pricing Indicator Code 1	51 - Drugs
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Code	C - Carrier judgment
HCPCS ASC Payment Group Code	YY
HCPCS ASC Payment Group Effective Date	1/1/2024
HCPCS Berenson-Eggers Type Of Service Code	D1G - Drugs Administered through DME
HCPCS Type Of Service Code 1	P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	7/1/2023
HCPCS Action Effective Date	1/1/2024
HCPCS Action Code	N - No maintenance for this code