Humalog J Code: J1817
Insulin for administration through dme (i.e., insulin pump) per 50 units
Drug & Product Overview
About Humalog
Humalog is a medication aligned to the HCPCS J Code: J1817 for billing, pricing, and reimbursement purposes in the United States. Classified under Insulin, it is administered via the intravenous or subcutaneous routes and manufactured by multiple companies.
According to CMS Drug Use Information: Concentrated insulin regular is used with a proper diet and exercise program to control high blood sugar in people with diabetes who require large doses of insulin (more than 200 units per day). Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This man-made insulin product is the same as human insulin. It replaces the insulin that your body would normally make. It works right away like regular insulin but its effects last longer. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication may be used alone or with other oral diabetes drugs (such as metformin).
Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.
NDC Code Information
Based on publicly available CMS files. Showing 5 of 24 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00002-7510-01 | Humalog | Eli Lilly and Company | 20 | Humalog Intravenous In jection 1000 UNI… Login for More |
| 00002-7510-17 | Humalog | Eli Lilly and Company | 6 | HumaLOG Injection Solu tion 100 UNIT/ML… Login for More |
| 00024-5924-10 | Admelog | Sanofi-Aventis U.S. LLC | 20 | Admelog Intravenous In jection 1000 UNI… Login for More |
| 00169-2100-11 | Novolog | Novo Nordisk | 20 | Novolog Intravenous In jection 1000 UNI… Login for More |
| 50090-1375-00 | Humalog | A-S Medication Solutions | 20 | Humalog Intravenous In jection 1000 UNI… Login for More |
| •••••-••••-•• Log in to view | Humalog | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | Humalog | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | Humalog | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
Humalog Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Humalog Approval Date: October 28, 1982
| Product Name | HCPCS Code | Active Ingredient | BLA Type |
|---|---|---|---|
| FIASP | J1815 | Insulin Aspart | 351(a) Originator Product |
| NOVOLOG | J1817 | Insulin Aspart | 351(a) Originator Product |
| KIRSTY | N/A | Insulin Aspart | 351(K) Interchangeable |
| MERILOG | N/A | Insulin Aspart | 351(K) Biosimilar |
Humalog CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) |
CMS does not include Humalog (J1817) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1817. Wastage billing guide →
Humalog Medically Unlikely Edits (MUE)
The most billing units of J1817 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 50 units.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
Humalog Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
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