Home Drug Codes J Codes J2820 · LEUKINE
Updated July 1st, 2026

LEUKINE J Code: J2820

Injection, sargramostim (gm-csf), 50 mcg

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Q4 2026 Medicare Payment Limit for J2820, effective October 1, 2026: $62.47 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

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Medicare Payment Limit ?
$62.474
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$62.474
/ HCPCS billing unit · APC 0731
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, sargramostim (gm-csf), 50 mcg
HCPCS Added Date January 1, 1982
Manufacturer Partner Therapeutics, Inc
Route of Administration Intravenous, Subcutaneous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution

About LEUKINE

Leukine is a medication aligned to the HCPCS J Code: J2820 for billing, pricing, and reimbursement purposes in the United States. This Oncology Colony Stimulating Factor medication is administered via the intravenous or subcutaneous routes and manufactured by Partner Therapeutics, Inc.

According to CMS Drug Use Information: Sargramostim is a man-made version of a certain natural substance made in your body. It is used to help your body make more white blood cells. White blood cells are important to help you fight off infections. Sargramostim is given to people whose ability to make white blood cells is reduced (for instance, due to chemotherapy or exposure to large amounts of radiation). It is also used in certain treatment procedures (such as bone marrow/stem cell transplant).

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
71837-5843-05 Leukine Partner Therapeutics, Inc. 25 250 MCG / 1 ML
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LEUKINE Pricing & Reimbursement

J2820 Private Payer Reimbursement
$63.31 / 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

LEUKINE Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 18.93%
Avg. Days to File 10.4days
Avg. Days to Pay 25.7days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

Explore J2820 claims analytics on FocalPoint →
OnPoint Oncology

LEUKINE 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)
96372 Login for More Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular Login for More
JW / JZ modifiers apply

CMS has identified Leukine (J2820) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

LEUKINE Medically Unlikely Edits (MUE)

The most billing units of J2820 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 50 mcg. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
15 units / day
= 750 mcg per day
Hospital Outpatient
10 units / day
= 500 mcg 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 →

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

LEUKINE 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.

Acute Myeloid Leukemia Allogeneic Bone Marrow Transplantation Autologous Bone Marrow Transplantation Autologous Peripheral Blood Progenitor Cell Mobilization and Collection Autologous Peripheral Blood Progenitor Cell Transplantation Delayed Neutrophil Recovery or Graft Failure Following Bone Marrow Transplantation Hematopoietic Syndrome of Acute Radiation Syndrome (H-ARS)
Drug Class
Granulocyte Colony-Stimulating Factor [CS]Granulocyte-Macrophage Colony-Stimulating Factor [CS]Increased Myeloid Cell Production [PE]Leukocyte Growth Factor [EPC]

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Frequently Asked Questions

Is there an available Leukine billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for LEUKINE.
Are there any available Leukine patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for LEUKINE.
Where can I find Leukine prescribing information?
LEUKINE 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 Leukine side effect information?
Our team has not yet identified a source of side effects information for LEUKINE. Please check back in a few weeks.
Does billing LEUKINE require JZ/JW wastage modifiers?
CMS has identified LEUKINE(J2820) 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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