Home › Drug Codes › J Codes › J1817 · Humalog
Updated October 1st, 2026

Humalog J Code: J1817

Insulin for administration through dme (i.e., insulin pump) per 50 units

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Medicare Payment Limit ?
$3.116
/ HCPCS billing unit
APC Payment Limit ?
Not published
CMS publishes none for Q4 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
24
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Self-Administered Drug Exclusion 7 Medicare Administrative Contractors list J1817 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, First Coast, Noridian (A53032), Noridian (A53033), Novitas, Palmetto, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor Insulin for administration through dme (i.e., insulin pump) per 50 units
HCPCS Added Date January 1, 2003
Manufacturer Multiple Manufacturers
Route of Administration Intravenous, Subcutaneous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose, Multi-Dose
Dosage Form Injection, Solution

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
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Humalog Pricing & Reimbursement

J1817 Private Payer Reimbursement
$3.18 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q4 2026

Biosimilar Information

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)
Not on the CMS JW / JZ list

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.

Practitioner Office & Hospital Outpatient
0 units / day
Not payable in this setting

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 →

units Enter a dose to see how many billing units it is and whether it is under the limit.

Humalog Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

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.

Diabetes mellitus diabetes mellitus
Drug Class
Insulin Analog [EPC]Insulin [CS]Insulin [Chemical/Ingredient]Insulin [EPC]

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Frequently Asked Questions

Is there an available Humalog billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for Humalog.
Are there any available Humalog patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for Humalog.
Where can I find Humalog prescribing information?
Humalog prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →
Where can I find Humalog side effect information?
Our team has not yet identified a source of side effects information for Humalog. Please check back in a few weeks.
Does billing Humalog require JZ/JW wastage modifiers?
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. For more information, visit the link below.

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