Home Drug Codes J Codes J1932 · Lanreotide
Updated July 1st, 2026

Lanreotide J Code: J1932

Injection, lanreotide, (cipla), 1 mg

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Q4 2026 Medicare Payment Limit for J1932, effective October 1, 2026: $20.33 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

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Medicare Payment Limit ?
$20.33
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$20.33
/ HCPCS billing unit · APC 9051
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, lanreotide, (cipla), 1 mg
HCPCS Added Date October 1, 2022
Manufacturer Cipla
Route of Administration Subcutaneous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection

About Lanreotide

Lanreotide is a medication aligned to the HCPCS J Code: J1932 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the subcutaneous route and manufactured by Cipla.

According to CMS Drug Use Information: This medication is a long-acting form of lanreotide. Lanreotide is used to treat a condition called acromegaly that occurs when the body makes too much of a certain natural substance called growth hormone. It is used when surgery or radiation treatment have not been fully successful or cannot be used. Treating acromegaly helps reduce the risk of serious problems such as diabetes and heart disease. Lanreotide works by decreasing the amount of growth hormone to normal levels. This drug is not a cure for acromegaly. It is used for the long-term treatment of this condition. This medication is also used to treat certain cancer or tumors of the stomach, intestines, or pancreas. It may help to slow down the growth of these tumors. Lanreotide is also used to treat carcinoid syndrome. It may help reduce the need to use another medication to treat diarrhea or flushing caused by carcinoid syndrome.

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. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
69097-0870-67 Lanreotide Acetate Cipla USA Inc. 120 120 MG / 0.5 ML
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Lanreotide Pricing & Reimbursement

J1932 Private Payer Reimbursement
$37.28 / 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 Q3 2026

Lanreotide Acetate 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J1932 Cipla USA Lanreotide Acetate Injection, lanreotide, (cipla), 1 mg

Lanreotide 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
96401 Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic
JW / JZ modifiers apply

CMS has identified Lanreotide (J1932) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

Lanreotide Medically Unlikely Edits (MUE)

The most billing units of J1932 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
120 units / day
= 120 mg per day

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 →

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

Lanreotide 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.

Acromegaly Carcinoid Syndrome Gastroenteropancreatic Neuroendocrine Tumors
Drug Class
Somatostatin Analog [EPC]Somatostatin Receptor Agonists [MoA]

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Frequently Asked Questions

Is there an available Lanreotide billing and coding guide?
Billing and coding information for Lanreotide can be found through Cipla. Visit Here →
Are there any available Lanreotide patient assistance programs?
Lanreotide patient assistance information can be found through Cipla. Visit Here →
Where can I find Lanreotide prescribing information?
Lanreotide prescribing information can be found at the link below: Visit Here →
Where can I find Lanreotide side effect information?
Information regarding Lanreotide's side effects can be found at MedlinePlus Visit Here →
Does billing Lanreotide require JZ/JW wastage modifiers?
CMS has identified Lanreotide(J1932) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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